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 $937.15 / $1,505.70 / $1,607.29	Professional		$937.15	$1,505.70	$1,607.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.88 / $2,264.06 / $2,830.08	Professional		$1,675.88	$2,264.06	$2,830.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.64 / $1,409.55 / $2,926.30	Professional		$932.64	$1,409.55	$2,926.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,229.06 / $2,491.30 / $7,896.02	Facility		$1,229.06	$2,491.30	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.91 / $2,029.38 / $7,546.48	Professional		$1,050.91	$2,029.38	$7,546.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,542.00 / $2,439.27 / $3,052.37	Facility		$1,542.00	$2,439.27	$3,052.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,491.00 / $2,181.19 / $2,770.89	Professional		$1,491.00	$2,181.19	$2,770.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $948.76 / $1,724.15 / $3,259.56	Professional		$948.76	$1,724.15	$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 $1,005.58 / $1,601.39 / $2,982.59	Professional		$1,005.58	$1,601.39	$2,982.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,519.41 / $1,923.30 / $2,262.69	Professional		$1,519.41	$1,923.30	$2,262.69