Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.95 / $1,576.30 / $1,576.30	Professional		$910.95	$1,576.30	$1,576.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.46 / $2,468.02 / $2,786.26	Professional		$2,127.46	$2,468.02	$2,786.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $949.19 / $1,497.00 / $2,519.35	Professional		$949.19	$1,497.00	$2,519.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,604.98 / $2,699.26 / $15,214.55	Facility		$1,604.98	$2,699.26	$15,214.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,144.02 / $2,307.11 / $11,940.77	Professional		$1,144.02	$2,307.11	$11,940.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,630.00 / $2,953.84 / $4,945.14	Facility		$1,630.00	$2,953.84	$4,945.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,508.35 / $2,258.40 / $2,953.84	Professional		$1,508.35	$2,258.40	$2,953.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,681.00 / $2,607.60	Professional		$6.00	$1,681.00	$2,607.60
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 $1,096.34 / $1,963.90 / $3,103.44	Professional		$1,096.34	$1,963.90	$3,103.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,961.30 / $1,961.30 / $2,307.40	Professional		$1,961.30	$1,961.30	$2,307.40