Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,606.93 / $8,128.31	Facility		$1,202.26	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,570.40	Professional		$891.25	$1,023.29	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,818.38	Professional		$2,187.76	$2,290.87	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $4,168.69	Professional		$977.24	$1,621.81	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $11,220.18	Facility		$1,584.89	$2,691.53	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $10,000.00	Professional		$1,096.48	$1,905.46	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $3,162.28	Professional		$2,089.30	$2,187.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $2,691.53	Professional		$1,819.70	$2,630.27	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,819.70 / $2,511.89	Professional		$7.08	$1,819.70	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $14,454.40	Facility		$5,888.44	$9,120.11	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,754.23	Professional		$1,023.29	$1,513.56	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72