Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $6,760.83	Facility		$1,995.26	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,884.03	Professional		$1,071.52	$1,348.96	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $3,388.44	Professional		$1,479.11	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $3,548.13	Professional		$831.76	$1,412.54	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $3,890.45	Facility		$933.25	$1,949.84	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $8,511.38	Professional		$1,258.93	$2,344.23	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,019.95	Professional		$1,862.09	$2,691.53	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,187.76	Professional		$954.99	$1,698.24	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $4,897.79	Facility		$1,023.29	$1,949.84	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,311.31	Professional		$1,202.26	$1,698.24	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,511.89	Professional		$1,698.24	$2,344.23	$2,511.89