Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.72 / $1,582.77 / $1,582.77	Professional		$1,001.72	$1,582.77	$1,582.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.88 / $2,465.85 / $3,082.31	Professional		$2,088.88	$2,465.85	$3,082.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $719.69 / $1,440.65 / $2,462.46	Professional		$719.69	$1,440.65	$2,462.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,263.33 / $2,633.10 / $14,396.24	Facility		$1,263.33	$2,633.10	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,073.29 / $2,292.84 / $7,949.36	Professional		$1,073.29	$2,292.84	$7,949.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $2,837.53 / $5,383.60	Facility		$1,582.00	$2,837.53	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,108.38 / $2,123.67 / $2,937.03	Professional		$1,108.38	$2,123.67	$2,937.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,669.70 / $2,919.20	Professional		$5.00	$1,669.70	$2,919.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.08 / $2,070.87 / $3,176.26	Professional		$1,122.08	$2,070.87	$3,176.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,981.20 / $1,981.20 / $2,330.90	Professional		$1,981.20	$1,981.20	$2,330.90