Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $7,943.28	Facility		$1,737.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,548.13	Professional		$1,096.48	$1,318.26	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,467.37	Professional		$2,691.53	$2,818.38	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,466.84	Professional		$1,202.26	$2,137.96	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $7,079.46	Facility		$1,949.84	$2,951.21	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $10,000.00	Professional		$1,348.96	$2,398.83	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $3,801.89	Professional		$2,511.89	$2,818.38	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $3,467.37	Professional		$2,454.71	$3,388.44	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $2,454.71 / $3,235.94	Professional		$8.91	$2,454.71	$3,235.94
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 $1,258.93 / $1,905.46 / $3,715.35	Professional		$1,258.93	$1,905.46	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Professional		$2,511.89	$2,511.89	$2,951.21