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 $1,104.09 / $1,450.93 / $2,007.67	Professional		$1,104.09	$1,450.93	$2,007.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,951.65 / $2,489.78 / $3,417.33	Professional		$1,951.65	$2,489.78	$3,417.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $802.51 / $1,545.09 / $2,363.98	Professional		$802.51	$1,545.09	$2,363.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,453.44 / $2,452.07 / $9,224.20	Facility		$1,453.44	$2,452.07	$9,224.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,290.53 / $2,489.78 / $8,857.04	Professional		$1,290.53	$2,489.78	$8,857.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,685.00 / $2,596.28 / $5,383.60	Facility		$1,685.00	$2,596.28	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,583.76 / $2,216.86 / $3,236.66	Professional		$1,583.76	$2,216.86	$3,236.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,043.10 / $3,147.50	Professional		$5.00	$2,043.10	$3,147.50
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 $1,236.07 / $2,275.17 / $3,653.10	Professional		$1,236.07	$2,275.17	$3,653.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,694.20 / $1,993.20 / $2,732.30	Professional		$1,694.20	$1,993.20	$2,732.30