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 $898.17 / $1,416.14 / $5,266.50	Professional		$898.17	$1,416.14	$5,266.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.86 / $2,199.40 / $2,749.25	Professional		$940.86	$2,199.40	$2,749.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $915.95 / $1,436.29 / $3,175.85	Professional		$915.95	$1,436.29	$3,175.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,171.66 / $2,018.15 / $4,663.00	Facility		$1,171.66	$2,018.15	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,078.28 / $2,157.46 / $7,297.36	Professional		$1,078.28	$2,157.46	$7,297.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,490.17 / $2,203.76 / $2,944.13	Facility		$1,490.17	$2,203.76	$2,944.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,385.00 / $2,203.76 / $2,833.78	Professional		$1,385.00	$2,203.76	$2,833.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,831.90 / $2,603.50	Professional		$7.00	$1,831.90	$2,603.50
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 $1,039.70 / $1,549.27 / $3,076.84	Professional		$1,039.70	$1,549.27	$3,076.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,535.13 / $1,943.20 / $2,286.10	Professional		$1,535.13	$1,943.20	$2,286.10