Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $7,943.28	Facility		$1,412.54	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,884.03	Professional		$891.25	$1,071.52	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,818.38	Professional		$2,137.96	$2,238.72	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $3,162.28	Professional		$977.24	$1,737.80	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,073.80 / $10,715.19	Facility		$1,445.44	$4,073.80	$10,715.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $7,413.10	Professional		$1,023.29	$1,862.09	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,818.38	Professional		$1,659.59	$2,238.72	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $2,818.38	Professional		$1,698.24	$2,754.23	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $2,041.74 / $2,630.27	Professional		$8.91	$2,041.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $11,748.98	Facility		$4,786.30	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,019.95	Professional		$977.24	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Professional		$2,041.74	$2,041.74	$2,398.83