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 $963.08 / $1,233.96 / $1,944.34	Professional		$963.08	$1,233.96	$1,944.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.90 / $2,372.53 / $4,048.02	Professional		$634.90	$2,372.53	$4,048.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.08 / $2,101.08 / $4,992.41	Professional		$1,388.08	$2,101.08	$4,992.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,452.47 / $2,853.28 / $6,572.00	Facility		$1,452.47	$2,853.28	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,175.15 / $2,369.88 / $8,606.87	Professional		$1,175.15	$2,369.88	$8,606.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,890.33 / $2,528.50 / $3,473.67	Facility		$1,890.33	$2,528.50	$3,473.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,131.28 / $2,727.62 / $3,473.67	Professional		$2,131.28	$2,727.62	$3,473.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,449.00	Professional		$7.00	$7.00	$1,449.00
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 $1,077.22 / $1,831.27 / $3,187.88	Professional		$1,077.22	$1,831.27	$3,187.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,299.14 / $2,910.30 / $3,423.90	Professional		$2,299.14	$2,910.30	$3,423.90