Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $11,481.54	Facility		$1,288.25	$3,388.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $3,715.35	Professional		$794.33	$1,000.00	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,511.89	Professional		$1,905.46	$2,041.74	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $3,235.94	Professional		$870.96	$1,513.56	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,073.80 / $13,803.84	Facility		$1,288.25	$4,073.80	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $6,456.54	Professional		$1,023.29	$1,778.28	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,884.03	Professional		$1,905.46	$2,041.74	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,344.23	Professional		$1,659.59	$2,290.87	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,819.70 / $2,187.76	Professional		$3.02	$1,819.70	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $14,125.38	Facility		$5,495.41	$8,511.38	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,754.23	Professional		$933.25	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,995.26	Professional		$1,698.24	$1,698.24	$1,995.26