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 $972.97 / $1,794.48 / $3,409.51	Professional		$972.97	$1,794.48	$3,409.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.02 / $2,366.13 / $2,957.66	Professional		$1,004.02	$2,366.13	$2,957.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.90 / $1,598.14 / $3,453.82	Professional		$1,013.90	$1,598.14	$3,453.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,243.68 / $2,217.44 / $4,663.00	Facility		$1,243.68	$2,217.44	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,187.72 / $2,360.48 / $7,941.36	Professional		$1,187.72	$2,360.48	$7,941.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,627.99 / $2,412.65 / $3,213.59	Facility		$1,627.99	$2,412.65	$3,213.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,457.00 / $2,412.65 / $3,022.33	Professional		$1,457.00	$2,412.65	$3,022.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,922.00 / $2,787.00	Professional		$7.00	$1,922.00	$2,787.00
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 $1,136.08 / $1,702.48 / $3,362.07	Professional		$1,136.08	$1,702.48	$3,362.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,680.65 / $2,127.40 / $2,502.80	Professional		$1,680.65	$2,127.40	$2,502.80