Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $6,760.83	Facility		$1,621.81	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,511.89	Professional		$933.25	$1,071.52	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $3,090.30	Professional		$794.33	$1,318.26	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $8,912.51	Facility		$1,230.27	$2,630.27	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $7,585.78	Professional		$1,000.00	$1,949.84	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $2,630.27	Professional		$1,659.59	$2,454.71	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,630.27	Professional		$1,995.26	$2,089.30	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,089.30	Professional		$912.01	$1,621.81	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,884.03	Professional		$933.25	$1,412.54	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,238.72	Professional		$1,513.56	$1,905.46	$2,238.72