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 $939.09 / $1,499.23 / $1,641.60	Professional		$939.09	$1,499.23	$1,641.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,781.20 / $2,352.88 / $2,941.10	Professional		$1,781.20	$2,352.88	$2,941.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $966.95 / $1,488.47 / $3,549.72	Professional		$966.95	$1,488.47	$3,549.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,356.23 / $2,471.79 / $6,695.24	Facility		$1,356.23	$2,471.79	$6,695.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,064.97 / $1,979.59 / $7,722.88	Professional		$1,064.97	$1,979.59	$7,722.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $2,379.85 / $3,181.40	Facility		$1,750.00	$2,379.85	$3,181.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,378.73 / $2,209.67 / $3,075.20	Professional		$1,378.73	$2,209.67	$3,075.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.42 / $1,897.42 / $3,259.56	Professional		$1,028.42	$1,897.42	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.21 / $1,571.36 / $2,926.66	Professional		$1,031.21	$1,571.36	$2,926.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,618.79 / $2,049.10 / $2,410.69	Professional		$1,618.79	$2,049.10	$2,410.69