Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $7,943.28	Facility		$1,380.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,818.38	Professional		$870.96	$1,047.13	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,754.23	Professional		$2,137.96	$2,238.72	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $4,570.88	Professional		$954.99	$1,698.24	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $7,079.46	Facility		$1,584.89	$2,344.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $9,120.11	Professional		$1,047.13	$1,905.46	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,884.03	Professional		$1,905.46	$2,238.72	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $2,754.23	Professional		$1,949.84	$2,691.53	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $1,949.84 / $2,570.40	Professional		$10.96	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,951.21	Professional		$1,000.00	$1,479.11	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23