Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $7,943.28	Facility		$1,479.11	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $3,019.95	Professional		$1,096.48	$1,258.93	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,388.44	Professional		$2,754.23	$2,818.38	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $4,265.80	Professional		$1,202.26	$2,089.30	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $13,182.57	Facility		$1,819.70	$4,168.69	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $8,912.51	Professional		$1,412.54	$2,398.83	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $4,265.80	Professional		$2,630.27	$2,818.38	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $3,311.31	Professional		$2,398.83	$3,311.31	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,398.83 / $3,090.30	Professional		$6.03	$2,398.83	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $13,182.57	Facility		$6,606.93	$10,000.00	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,715.35	Professional		$1,288.25	$1,949.84	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53