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 $924.04 / $1,535.31 / $1,602.05	Professional		$924.04	$1,535.31	$1,602.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.44 / $2,233.60 / $2,791.13	Professional		$1,755.44	$2,233.60	$2,791.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $937.01 / $1,448.12 / $3,205.69	Professional		$937.01	$1,448.12	$3,205.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.99 / $2,464.51 / $6,034.22	Facility		$1,380.99	$2,464.51	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,056.58 / $2,016.00 / $8,600.59	Professional		$1,056.58	$2,016.00	$8,600.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,670.00 / $2,197.38 / $2,824.47	Facility		$1,670.00	$2,197.38	$2,824.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,536.96 / $2,233.60 / $3,033.46	Professional		$1,536.96	$2,233.60	$3,033.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.32 / $1,856.38 / $2,476.73	Professional		$1,000.32	$1,856.38	$2,476.73
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 $1,016.63 / $1,759.02 / $2,794.34	Professional		$1,016.63	$1,759.02	$2,794.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,555.91 / $1,969.50 / $2,317.10	Professional		$1,555.91	$1,969.50	$2,317.10