Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.43 / $1,582.52 / $1,658.96	Professional		$960.43	$1,582.52	$1,658.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.95 / $2,374.69 / $2,968.37	Professional		$1,815.95	$2,374.69	$2,968.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $975.23 / $1,497.35 / $3,640.06	Professional		$975.23	$1,497.35	$3,640.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,267.94 / $2,413.17 / $6,608.00	Facility		$1,267.94	$2,413.17	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.76 / $2,051.06 / $7,042.85	Professional		$1,096.76	$2,051.06	$7,042.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,588.10 / $2,256.42 / $2,824.47	Facility		$1,588.10	$2,256.42	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,398.67 / $2,342.05 / $3,118.75	Professional		$1,398.67	$2,342.05	$3,118.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.07 / $1,897.51 / $2,476.73	Professional		$1,036.07	$1,897.51	$2,476.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.44 / $1,624.01 / $3,141.75	Professional		$1,045.44	$1,624.01	$3,141.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,631.51 / $2,065.19 / $2,429.60	Professional		$1,631.51	$2,065.19	$2,429.60