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 $880.35 / $1,324.82 / $5,083.97	Professional		$880.35	$1,324.82	$5,083.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.41 / $2,127.71 / $2,659.65	Professional		$929.41	$2,127.71	$2,659.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $906.02 / $1,400.97 / $3,141.10	Professional		$906.02	$1,400.97	$3,141.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,120.51 / $4,663.00	Facility		$1,275.00	$2,120.51	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.76 / $2,132.35 / $7,845.00	Professional		$1,068.76	$2,132.35	$7,845.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,474.44 / $2,145.53 / $2,908.82	Facility		$1,474.44	$2,145.53	$2,908.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.00 / $2,145.53 / $2,854.28	Professional		$1,424.00	$2,145.53	$2,854.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,740.60 / $2,458.80	Professional		$7.00	$1,740.60	$2,458.80
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 $1,022.30 / $1,486.98 / $3,025.35	Professional		$1,022.30	$1,486.98	$3,025.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,494.60 / $1,891.90 / $2,225.69	Professional		$1,494.60	$1,891.90	$2,225.69