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 $993.93 / $1,581.21 / $1,581.21	Professional		$993.93	$1,581.21	$1,581.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,341.33 / $2,814.70 / $2,990.77	Professional		$2,341.33	$2,814.70	$2,990.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $985.02 / $1,704.39 / $2,979.48	Professional		$985.02	$1,704.39	$2,979.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,993.05 / $2,858.21 / $14,595.02	Facility		$1,993.05	$2,858.21	$14,595.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.88 / $2,474.60 / $7,977.04	Professional		$1,308.88	$2,474.60	$7,977.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.64 / $2,463.55 / $3,222.12	Facility		$1,647.64	$2,463.55	$3,222.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,767.00 / $2,341.33 / $3,222.12	Professional		$1,767.00	$2,341.33	$3,222.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,938.80 / $2,728.50	Professional		$5.00	$1,938.80	$2,728.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.94 / $2,170.28 / $3,328.74	Professional		$1,175.94	$2,170.28	$3,328.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,982.50 / $1,982.50 / $2,332.30	Professional		$1,982.50	$1,982.50	$2,332.30