Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,630.27	Professional		$954.99	$1,202.26	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,951.21	Professional		$1,905.46	$2,398.83	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,630.78	Professional		$977.24	$1,445.44	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $15,848.93	Facility		$1,380.38	$2,691.53	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $7,762.47	Professional		$1,047.13	$2,041.74	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,818.38	Professional		$2,089.30	$2,398.83	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,818.38	Professional		$2,041.74	$2,089.30	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,290.87	Professional		$977.24	$1,737.80	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,511.38 / $11,748.98	Facility		$5,248.07	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,951.21	Professional		$1,000.00	$1,513.56	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,398.83	Professional		$1,621.81	$2,041.74	$2,398.83