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 $984.56 / $1,498.65 / $2,407.88	Professional		$984.56	$1,498.65	$2,407.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.94 / $2,384.05 / $2,992.87	Professional		$1,060.94	$2,384.05	$2,992.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.42 / $1,629.68 / $3,588.64	Professional		$1,032.42	$1,629.68	$3,588.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,404.19 / $2,361.10 / $4,663.00	Facility		$1,404.19	$2,361.10	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,200.15 / $2,383.23 / $8,046.08	Professional		$1,200.15	$2,383.23	$8,046.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,649.82 / $2,446.85 / $3,246.24	Facility		$1,649.82	$2,446.85	$3,246.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $2,446.85 / $3,178.82	Professional		$1,589.00	$2,446.85	$3,178.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,956.80 / $2,775.20	Professional		$8.00	$1,956.80	$2,775.20
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 $1,147.97 / $1,720.55 / $3,132.29	Professional		$1,147.97	$1,720.55	$3,132.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,704.50 / $2,157.60 / $2,538.30	Professional		$1,704.50	$2,157.60	$2,538.30