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 $1,603.31 / $2,426.46 / $3,033.07	Professional		$1,603.31	$2,426.46	$3,033.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.68 / $1,803.72 / $2,418.32	Professional		$1,135.68	$1,803.72	$2,418.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.29 / $1,738.66 / $3,420.39	Facility		$1,269.29	$1,738.66	$3,420.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $850.42 / $5,219.14	Professional		$801.65	$850.42	$5,219.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,603.31 / $2,338.16 / $3,420.39	Facility		$1,603.31	$2,338.16	$3,420.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $2,338.16 / $3,447.86	Professional		$1,603.31	$2,338.16	$3,447.86
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 $2,004.14 / $2,004.14 / $2,004.14	Facility		$2,004.14	$2,004.14	$2,004.14
United Facility/Professional Professional Modifier Low / Median / High Price $801.65 / $801.65 / $2,912.68	Professional		$801.65	$801.65	$2,912.68
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