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 $944.10 / $1,531.18 / $1,634.48	Professional		$944.10	$1,531.18	$1,634.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,019.74 / $2,312.37 / $2,890.46	Professional		$2,019.74	$2,312.37	$2,890.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.93 / $1,685.76 / $3,338.46	Professional		$977.93	$1,685.76	$3,338.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,634.48 / $2,541.84 / $8,060.00	Facility		$1,634.48	$2,541.84	$8,060.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,091.94 / $2,142.53 / $8,230.76	Professional		$1,091.94	$2,142.53	$8,230.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,897.07 / $2,366.28 / $3,094.94	Facility		$1,897.07	$2,366.28	$3,094.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,542.08 / $2,302.73 / $3,094.94	Professional		$1,542.08	$2,302.73	$3,094.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.08 / $1,834.61 / $9,278.68	Professional		$978.08	$1,834.61	$9,278.68
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 $1,089.33 / $1,631.43 / $3,223.72	Professional		$1,089.33	$1,631.43	$3,223.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,604.10 / $2,030.50 / $2,388.80	Professional		$1,604.10	$2,030.50	$2,388.80