Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.77 / $1,481.01 / $1,481.01	Professional		$931.77	$1,481.01	$1,481.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,060.26 / $2,509.92 / $2,844.69	Professional		$2,060.26	$2,509.92	$2,844.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $938.83 / $1,470.00 / $2,678.12	Professional		$938.83	$1,470.00	$2,678.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,489.05 / $2,607.48 / $6,608.00	Facility		$1,489.05	$2,607.48	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,252.23 / $2,376.17 / $7,555.44	Professional		$1,252.23	$2,376.17	$7,555.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,577.38 / $2,217.60 / $3,095.12	Facility		$1,577.38	$2,217.60	$3,095.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,585.00 / $2,217.60 / $3,045.46	Professional		$1,585.00	$2,217.60	$3,045.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,864.40 / $2,519.19	Professional		$7.00	$1,864.40	$2,519.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.17 / $2,221.21 / $3,196.35	Professional		$1,129.17	$2,221.21	$3,196.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,955.40 / $1,955.40 / $2,300.50	Professional		$1,955.40	$1,955.40	$2,300.50