Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.66 / $1,667.80 / $1,742.83	Professional		$1,007.66	$1,667.80	$1,742.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,057.00 / $2,482.98 / $3,103.74	Professional		$2,057.00	$2,482.98	$3,103.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.91 / $1,640.72 / $5,232.92	Professional		$1,029.91	$1,640.72	$5,232.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,576.84 / $2,515.89 / $6,338.00	Facility		$1,576.84	$2,515.89	$6,338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,154.19 / $2,203.44 / $8,741.03	Professional		$1,154.19	$2,203.44	$8,741.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,028.52 / $2,511.69 / $3,285.13	Facility		$2,028.52	$2,511.69	$3,285.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,664.83 / $2,461.41 / $3,285.13	Professional		$1,664.83	$2,461.41	$3,285.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.99 / $1,952.45 / $3,259.56	Professional		$1,048.99	$1,952.45	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.72 / $1,678.82 / $3,131.08	Professional		$1,101.72	$1,678.82	$3,131.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,714.62 / $2,170.40 / $2,553.40	Professional		$1,714.62	$2,170.40	$2,553.40