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 $972.42 / $1,494.50 / $5,647.47	Professional		$972.42	$1,494.50	$5,647.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.60 / $2,354.44 / $2,955.64	Professional		$1,047.60	$2,354.44	$2,955.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.11 / $1,608.43 / $3,990.31	Professional		$1,019.11	$1,608.43	$3,990.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,381.86 / $2,337.00 / $4,663.00	Facility		$1,381.86	$2,337.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,184.55 / $2,348.05 / $7,944.48	Professional		$1,184.55	$2,348.05	$7,944.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,630.68 / $2,415.56 / $3,198.90	Facility		$1,630.68	$2,415.56	$3,198.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,564.00 / $2,415.56 / $3,121.11	Professional		$1,564.00	$2,415.56	$3,121.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,928.80 / $2,777.30	Professional		$7.00	$1,928.80	$2,777.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.04 / $2,000.94 / $3,353.09	Professional		$1,133.04	$2,000.94	$3,353.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,682.70 / $2,130.00 / $2,505.80	Professional		$1,682.70	$2,130.00	$2,505.80