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 $942.98 / $1,546.61 / $1,628.51	Professional		$942.98	$1,546.61	$1,628.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.00 / $2,328.73 / $2,910.91	Professional		$1,925.00	$2,328.73	$2,910.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $957.77 / $1,522.73 / $3,146.10	Professional		$957.77	$1,522.73	$3,146.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,628.51 / $2,554.05 / $12,342.67	Facility		$1,628.51	$2,554.05	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,078.33 / $2,110.00 / $7,652.32	Professional		$1,078.33	$2,110.00	$7,652.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,899.59 / $2,538.03 / $6,616.19	Facility		$1,899.59	$2,538.03	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,559.61 / $2,294.01 / $3,069.90	Professional		$1,559.61	$2,294.01	$3,069.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $999.25 / $1,816.38 / $7,323.26	Professional		$999.25	$1,816.38	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.32 / $1,568.48 / $2,921.29	Professional		$1,029.32	$1,568.48	$2,921.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,598.01 / $2,022.80 / $2,379.80	Professional		$1,598.01	$2,022.80	$2,379.80