Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,659.59	Facility		$1,122.02	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $4,466.84	Professional		$977.24	$1,659.59	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,090.30	Professional		$1,949.84	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,019.95	Professional		$1,096.48	$1,819.70	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $6,606.93	Facility		$1,258.93	$1,995.26	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $8,317.64	Professional		$1,174.90	$1,949.84	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $3,548.13	Professional		$1,949.84	$2,187.76	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $3,090.30	Professional		$1,659.59	$1,995.26	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,238.72 / $2,818.38	Professional		$5.01	$2,238.72	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,951.21 / $7,413.10	Facility		$1,174.90	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,884.03	Professional		$1,096.48	$1,548.82	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Professional		$1,479.11	$1,479.11	$1,737.80