Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $7,943.28	Facility		$1,584.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $4,570.88	Professional		$1,023.29	$1,288.25	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,311.31	Professional		$2,137.96	$2,691.53	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $3,981.07	Professional		$1,023.29	$1,659.59	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $14,125.38	Facility		$1,584.89	$2,884.03	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $9,332.54	Professional		$1,148.15	$2,187.76	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,090.30	Professional		$2,137.96	$2,630.27	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Professional		$2,238.72	$2,238.72	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $3,162.28	Professional		$1,318.26	$2,238.72	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,471.29 / $16,218.10	Facility		$7,244.36	$10,471.29	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,162.28	Professional		$1,071.52	$1,584.89	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $2,884.03	Professional		$1,905.46	$2,454.71	$2,884.03