Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $7,943.28	Facility		$1,288.25	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,630.27	Professional		$954.99	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $3,019.95	Professional		$2,398.83	$2,454.71	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,786.30	Professional		$1,047.13	$1,778.28	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $8,511.38	Facility		$1,819.70	$3,162.28	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $7,943.28	Professional		$1,230.27	$2,089.30	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $3,630.78	Professional		$2,344.23	$2,398.83	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $2,884.03	Professional		$2,041.74	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,041.74 / $2,691.53	Professional		$6.03	$2,041.74	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $10,232.93	Facility		$3,388.44	$6,309.57	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,162.28	Professional		$1,122.02	$1,659.59	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Professional		$2,041.74	$2,041.74	$2,398.83