Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.56 / $1,496.67 / $5,749.61	Professional		$978.56	$1,496.67	$5,749.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.73 / $2,366.66 / $3,158.12	Professional		$1,091.73	$2,366.66	$3,158.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.39 / $1,624.14 / $3,699.83	Professional		$1,030.39	$1,624.14	$3,699.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,509.90 / $2,369.42 / $5,244.00	Facility		$1,509.90	$2,369.42	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,265.96 / $2,421.79 / $8,001.12	Professional		$1,265.96	$2,421.79	$8,001.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,681.85 / $2,425.75 / $3,453.86	Facility		$1,681.85	$2,425.75	$3,453.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,681.85 / $2,425.75 / $3,453.86	Professional		$1,681.85	$2,425.75	$3,453.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,047.30 / $2,770.90	Professional		$12.00	$2,047.30	$2,770.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.47 / $1,915.09 / $3,434.24	Professional		$1,160.47	$1,915.09	$3,434.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,689.81 / $2,139.00 / $2,516.40	Professional		$1,689.81	$2,139.00	$2,516.40