Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.09 / $1,513.06 / $3,406.36	Professional		$1,018.09	$1,513.06	$3,406.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.18 / $2,488.44 / $3,110.56	Professional		$975.18	$2,488.44	$3,110.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.10 / $1,516.07 / $3,510.81	Professional		$1,015.10	$1,516.07	$3,510.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.06 / $2,419.19 / $7,042.90	Facility		$1,220.06	$2,419.19	$7,042.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.03 / $2,416.66 / $8,202.56	Professional		$1,202.03	$2,416.66	$8,202.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,670.00 / $2,419.19 / $3,285.23	Facility		$1,670.00	$2,419.19	$3,285.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,452.09 / $2,419.19 / $2,963.34	Professional		$1,452.09	$2,419.19	$2,963.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,970.80 / $2,790.40	Professional		$5.00	$1,970.80	$2,790.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.16 / $1,972.08 / $3,433.01	Professional		$1,155.16	$1,972.08	$3,433.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,685.23 / $2,133.19 / $2,509.60	Professional		$1,685.23	$2,133.19	$2,509.60