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 $877.65 / $1,193.39 / $1,235.77	Professional		$877.65	$1,193.39	$1,235.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.49 / $2,102.58 / $2,286.71	Professional		$1,793.49	$2,102.58	$2,286.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $777.74 / $1,391.86 / $2,491.48	Professional		$777.74	$1,391.86	$2,491.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $2,226.81 / $7,799.00	Facility		$1,533.00	$2,226.81	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,037.20 / $1,916.06 / $12,630.10	Professional		$1,037.20	$1,916.06	$12,630.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,262.64 / $1,888.89 / $2,470.55	Facility		$1,262.64	$1,888.89	$2,470.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,398.82 / $1,842.82 / $2,470.55	Professional		$1,398.82	$1,842.82	$2,470.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,555.40 / $2,099.19	Professional		$15.00	$1,555.40	$2,099.19
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 $910.52 / $1,680.43 / $2,577.42	Professional		$910.52	$1,680.43	$2,577.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,557.30 / $1,557.30 / $1,832.10	Professional		$1,557.30	$1,557.30	$1,832.10