Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $2,599.23 / $3,635.74	Facility		$1,336.09	$2,599.23	$3,635.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.82 / $1,028.79 / $1,296.01	Professional		$881.82	$1,028.79	$1,296.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.63 / $2,426.46 / $3,033.07	Professional		$1,604.63	$2,426.46	$3,033.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.68 / $1,803.72 / $6,828.90	Professional		$1,135.68	$1,803.72	$6,828.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,724.13 / $3,420.39	Facility		$1,336.09	$1,724.13	$3,420.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $828.38 / $4,311.70	Professional		$801.65	$828.38	$4,311.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $1,870.53 / $2,752.35	Facility		$1,603.31	$1,870.53	$2,752.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $2,030.86 / $2,752.35	Professional		$1,603.31	$2,030.86	$2,752.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $2,384.92	Professional		$1,336.09	$1,336.09	$2,384.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $3,073.01	Facility		$1,336.09	$1,336.09	$3,073.01
United Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $801.65 / $2,735.64	Professional		$801.65	$801.65	$2,735.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,336.09	Professional		$1,336.09	$1,336.09	$1,336.09