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 $730.87 / $1,161.73 / $1,161.73	Professional		$730.87	$1,161.73	$1,161.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.15 / $1,968.06 / $2,231.15	Professional		$1,740.15	$1,968.06	$2,231.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $736.85 / $1,258.79 / $2,164.55	Professional		$736.85	$1,258.79	$2,164.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $2,106.54 / $12,371.41	Facility		$1,143.52	$2,106.54	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,012.09 / $1,867.08 / $9,010.07	Professional		$1,012.09	$1,867.08	$9,010.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.00 / $2,426.69 / $4,818.76	Facility		$1,376.00	$2,426.69	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,740.15 / $2,426.69	Professional		$1,251.00	$1,740.15	$2,426.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,371.10 / $1,974.80	Professional		$3.00	$1,371.10	$1,974.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $10,320.00	Facility		$4,700.00	$7,799.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.82 / $1,637.47 / $2,565.55	Professional		$925.82	$1,637.47	$2,565.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,534.40 / $1,534.40 / $1,805.20	Professional		$1,534.40	$1,534.40	$1,805.20