Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.71 / $1,348.10 / $4,795.79	Professional		$919.71	$1,348.10	$4,795.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,791.11 / $2,026.32 / $2,298.35	Professional		$1,791.11	$2,026.32	$2,298.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $757.90 / $1,294.76 / $2,300.00	Professional		$757.90	$1,294.76	$2,300.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,624.11 / $2,272.23 / $9,388.90	Facility		$1,624.11	$2,272.23	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.85 / $1,919.06 / $7,737.00	Professional		$1,059.85	$1,919.06	$7,737.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,474.00 / $2,195.25 / $3,170.91	Facility		$1,474.00	$2,195.25	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,349.00 / $1,791.11 / $2,495.52	Professional		$1,349.00	$1,791.11	$2,495.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,412.80 / $2,032.70	Professional		$3.00	$1,412.80	$2,032.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.08 / $1,483.66 / $2,582.76	Professional		$952.08	$1,483.66	$2,582.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,551.50 / $1,551.50 / $1,825.30	Professional		$1,551.50	$1,551.50	$1,825.30