Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,981.07 / $6,760.83	Facility		$1,548.82	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $3,162.28	Professional		$977.24	$1,174.90	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,019.95	Professional		$2,398.83	$2,511.89	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $4,073.80	Professional		$1,071.52	$1,905.46	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $6,606.93	Facility		$1,479.11	$3,019.95	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $8,709.64	Professional		$1,202.26	$2,137.96	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,548.13	Professional		$2,290.87	$2,511.89	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,090.30	Professional		$2,137.96	$3,019.95	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,187.76 / $2,818.38	Professional		$6.03	$2,187.76	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $7,413.10	Facility		$2,951.21	$5,370.32	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,311.31	Professional		$1,122.02	$1,698.24	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27