Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,388.44	Professional		$1,174.90	$1,548.82	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,715.35	Professional		$2,398.83	$3,019.95	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,890.45	Professional		$1,096.48	$1,862.09	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $14,125.38	Facility		$1,862.09	$3,235.94	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $9,772.37	Professional		$1,318.26	$2,454.71	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,801.89	Professional		$2,570.40	$2,951.21	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $3,801.89	Professional		$2,398.83	$2,511.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $3,548.13	Professional		$1,479.11	$2,511.89	$3,548.13
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 $1,230.27 / $1,819.70 / $3,630.78	Professional		$1,230.27	$1,819.70	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,235.94	Professional		$2,137.96	$2,754.23	$3,235.94