Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.43 / $1,525.44 / $5,752.80	Professional		$985.43	$1,525.44	$5,752.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.05 / $2,405.08 / $3,006.35	Professional		$1,052.05	$2,405.08	$3,006.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.29 / $1,660.76 / $3,495.52	Professional		$1,027.29	$1,660.76	$3,495.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,344.98 / $2,281.92 / $4,898.00	Facility		$1,344.98	$2,281.92	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,199.77 / $2,408.52 / $8,085.69	Professional		$1,199.77	$2,408.52	$8,085.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,596.48 / $2,447.57 / $3,244.11	Facility		$1,596.48	$2,447.57	$3,244.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,596.48 / $2,447.57 / $3,226.31	Professional		$1,596.48	$2,447.57	$3,226.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,053.50 / $2,827.00	Professional		$5.00	$2,053.50	$2,827.00
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 $1,147.60 / $1,800.87 / $3,396.19	Professional		$1,147.60	$1,800.87	$3,396.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,704.98 / $2,158.19 / $2,539.10	Professional		$1,704.98	$2,158.19	$2,539.10