Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.33 / $1,317.11 / $1,317.11	Professional		$828.33	$1,317.11	$1,317.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,965.63 / $2,230.39 / $2,522.34	Professional		$1,965.63	$2,230.39	$2,522.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $835.59 / $1,433.93 / $2,452.35	Professional		$835.59	$1,433.93	$2,452.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,477.79 / $2,230.39 / $6,608.00	Facility		$1,477.79	$2,230.39	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.66 / $2,121.23 / $6,713.28	Professional		$1,146.66	$2,121.23	$6,713.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,406.48 / $1,970.15 / $2,749.96	Facility		$1,406.48	$1,970.15	$2,749.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,406.48 / $1,970.15 / $2,749.96	Professional		$1,406.48	$1,970.15	$2,749.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,555.50 / $2,233.50	Professional		$6.00	$1,555.50	$2,233.50
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 $1,008.02 / $1,805.67 / $2,853.40	Professional		$1,008.02	$1,805.67	$2,853.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.20 / $1,737.20 / $2,043.80	Professional		$1,737.20	$1,737.20	$2,043.80