Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.62 / $1,626.77 / $1,708.10	Professional		$987.62	$1,626.77	$1,708.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,433.13 / $3,041.41	Professional		$2,030.00	$2,433.13	$3,041.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.02 / $1,606.47 / $3,278.52	Professional		$1,012.02	$1,606.47	$3,278.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,708.10 / $2,661.17 / $20,063.05	Facility		$1,708.10	$2,661.17	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.34 / $2,129.51 / $8,025.36	Professional		$1,130.34	$2,129.51	$8,025.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,988.21 / $2,661.17 / $17,787.22	Facility		$1,988.21	$2,661.17	$17,787.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,625.85 / $2,411.19 / $3,217.05	Professional		$1,625.85	$2,411.19	$3,217.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.98 / $1,958.89 / $18,926.65	Professional		$1,070.98	$1,958.89	$18,926.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.58 / $1,644.14 / $3,076.70	Professional		$1,077.58	$1,644.14	$3,076.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,679.62 / $2,126.10 / $2,501.30	Professional		$1,679.62	$2,126.10	$2,501.30