Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.65 / $1,384.21 / $1,384.21	Professional		$870.65	$1,384.21	$1,384.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,072.77 / $2,345.23 / $2,653.81	Professional		$2,072.77	$2,345.23	$2,653.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $878.82 / $1,491.40 / $2,569.53	Professional		$878.82	$1,491.40	$2,569.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.58 / $2,171.26 / $6,608.00	Facility		$1,305.58	$2,171.26	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,201.45 / $2,227.94 / $7,127.82	Professional		$1,201.45	$2,227.94	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,488.80 / $2,078.92 / $2,891.77	Facility		$1,488.80	$2,078.92	$2,891.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,488.80 / $2,072.77 / $2,891.77	Professional		$1,488.80	$2,072.77	$2,891.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,633.40 / $2,349.69	Professional		$7.00	$1,633.40	$2,349.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.74 / $1,896.52 / $2,996.96	Professional		$1,058.74	$1,896.52	$2,996.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,827.70 / $1,827.70 / $2,150.19	Professional		$1,827.70	$1,827.70	$2,150.19