Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $1,995.26	Facility		$1,288.25	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,890.45	Professional		$1,122.02	$1,513.56	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,715.35	Professional		$2,238.72	$2,951.21	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,630.78	Professional		$1,318.26	$2,137.96	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $6,606.93	Facility		$1,479.11	$2,344.23	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $10,000.00	Professional		$1,380.38	$2,238.72	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Professional		$2,238.72	$2,630.27	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,630.78	Professional		$1,905.46	$2,344.23	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,511.89 / $3,388.44	Professional		$7.08	$2,511.89	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $7,413.10	Facility		$1,380.38	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,311.31	Professional		$1,288.25	$1,778.28	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,041.74	Professional		$1,737.80	$1,737.80	$2,041.74