Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,128.61 / $7,943.28	Facility		$1,380.38	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $5,248.07	Professional		$1,023.29	$1,230.27	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,235.94	Professional		$2,570.40	$2,630.27	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $3,715.35	Professional		$1,122.02	$1,995.26	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $19,054.61	Facility		$1,698.24	$4,168.69	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $8,511.38	Professional		$1,318.26	$2,290.87	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $3,981.07	Professional		$2,511.89	$2,630.27	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,090.30	Professional		$2,238.72	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,238.72 / $2,884.03	Professional		$6.03	$2,238.72	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,467.37	Professional		$1,230.27	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Professional		$2,187.76	$2,187.76	$2,570.40