Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.04 / $1,380.81 / $5,297.28	Professional		$941.04	$1,380.81	$5,297.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.52 / $2,283.54 / $2,854.43	Professional		$965.52	$2,283.54	$2,854.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $940.76 / $1,433.37 / $3,288.43	Professional		$940.76	$1,433.37	$3,288.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.56 / $2,247.54 / $6,837.54	Facility		$1,233.56	$2,247.54	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,114.28 / $2,231.06 / $7,582.64	Professional		$1,114.28	$2,231.06	$7,582.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,557.45 / $2,235.06 / $3,052.91	Facility		$1,557.45	$2,235.06	$3,052.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,482.00 / $2,235.06 / $2,973.59	Professional		$1,482.00	$2,235.06	$2,973.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,833.00 / $2,566.80	Professional		$6.00	$1,833.00	$2,566.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,120.71 / $6,003.22 / $8,953.00	Facility		$4,120.71	$6,003.22	$8,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $1,758.92 / $3,154.19	Professional		$1,065.83	$1,758.92	$3,154.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,556.93 / $1,970.80 / $2,318.60	Professional		$1,556.93	$1,970.80	$2,318.60