Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.54 / $1,492.22 / $1,492.22	Professional		$942.54	$1,492.22	$1,492.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,171.04 / $2,497.11 / $2,908.96	Professional		$2,171.04	$2,497.11	$2,908.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $916.73 / $1,509.85 / $2,571.96	Professional		$916.73	$1,509.85	$2,571.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,372.96 / $2,741.86 / $14,396.24	Facility		$1,372.96	$2,741.86	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.33 / $2,246.73 / $7,530.48	Professional		$1,170.33	$2,246.73	$7,530.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,666.00 / $2,940.86 / $5,383.60	Facility		$1,666.00	$2,940.86	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,524.00 / $2,228.51 / $2,940.86	Professional		$1,524.00	$2,228.51	$2,940.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,851.70 / $2,657.00	Professional		$6.00	$1,851.70	$2,657.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.66 / $1,912.50 / $3,022.22	Professional		$1,067.66	$1,912.50	$3,022.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,887.00 / $1,887.00 / $2,220.00	Professional		$1,887.00	$1,887.00	$2,220.00