Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,370.32 / $7,943.28	Facility		$1,698.24	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $3,162.28	Professional		$1,071.52	$1,288.25	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $4,570.88	Professional		$1,174.90	$2,089.30	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $7,079.46	Facility		$1,949.84	$2,754.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $11,220.18	Professional		$1,258.93	$2,290.87	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,890.45	Professional		$2,570.40	$2,630.27	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $3,388.44	Professional		$2,398.83	$3,388.44	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $2,454.71 / $3,162.28	Professional		$8.91	$2,454.71	$3,162.28
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 $1,148.15 / $1,778.28 / $3,388.44	Professional		$1,148.15	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03