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 $842.05 / $1,292.80 / $4,901.52	Professional		$842.05	$1,292.80	$4,901.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.31 / $2,054.48 / $2,568.11	Professional		$904.31	$2,054.48	$2,568.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $882.00 / $1,390.23 / $2,899.26	Professional		$882.00	$1,390.23	$2,899.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,118.76 / $1,990.91 / $3,396.00	Facility		$1,118.76	$1,990.91	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $2,033.96 / $6,888.80	Professional		$1,024.73	$2,033.96	$6,888.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.37 / $2,096.78 / $2,770.17	Facility		$1,376.37	$2,096.78	$2,770.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,353.00 / $2,096.78 / $2,711.90	Professional		$1,353.00	$2,096.78	$2,711.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,618.50 / $2,404.10	Professional		$7.00	$1,618.50	$2,404.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.18 / $1,467.27 / $2,900.70	Professional		$980.18	$1,467.27	$2,900.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,460.63 / $1,848.90 / $2,175.19	Professional		$1,460.63	$1,848.90	$2,175.19