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 $897.91 / $1,376.81 / $5,249.87	Professional		$897.91	$1,376.81	$5,249.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.67 / $2,179.14 / $2,729.85	Professional		$969.67	$2,179.14	$2,729.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $944.49 / $1,491.76 / $3,228.66	Professional		$944.49	$1,491.76	$3,228.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,274.00 / $2,171.38 / $4,663.00	Facility		$1,274.00	$2,171.38	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.77 / $2,188.40 / $7,348.88	Professional		$1,100.77	$2,188.40	$7,348.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.52 / $2,237.96 / $2,973.12	Facility		$1,513.52	$2,237.96	$2,973.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,449.00 / $2,237.96 / $2,918.44	Professional		$1,449.00	$2,237.96	$2,918.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,792.50 / $2,560.60	Professional		$7.00	$1,792.50	$2,560.60
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 $1,052.91 / $1,581.64 / $3,115.94	Professional		$1,052.91	$1,581.64	$3,115.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,558.99 / $1,973.40 / $2,321.60	Professional		$1,558.99	$1,973.40	$2,321.60