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 $955.49 / $1,401.28 / $5,357.98	Professional		$955.49	$1,401.28	$5,357.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $2,333.40 / $2,916.76	Professional		$979.42	$2,333.40	$2,916.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $955.96 / $1,434.58 / $3,374.60	Professional		$955.96	$1,434.58	$3,374.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,205.42 / $2,090.64 / $4,663.00	Facility		$1,205.42	$2,090.64	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.22 / $2,248.16 / $7,710.96	Professional		$1,124.22	$2,248.16	$7,710.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,571.09 / $2,278.01 / $3,081.28	Facility		$1,571.09	$2,278.01	$3,081.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,499.00 / $2,278.01 / $2,926.11	Professional		$1,499.00	$2,278.01	$2,926.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,964.50 / $2,607.60	Professional		$6.00	$1,964.50	$2,607.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.33 / $1,804.66 / $3,182.32	Professional		$1,075.33	$1,804.66	$3,182.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,586.87 / $2,008.70 / $2,363.19	Professional		$1,586.87	$2,008.70	$2,363.19