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 $912.19 / $1,635.12 / $1,635.12	Professional		$912.19	$1,635.12	$1,635.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.84 / $2,456.48 / $2,777.49	Professional		$2,168.84	$2,456.48	$2,777.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.70 / $1,569.90 / $2,753.02	Professional		$919.70	$1,569.90	$2,753.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.91 / $2,774.70 / $22,503.68	Facility		$1,950.91	$2,774.70	$22,503.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,287.24 / $2,338.71 / $8,596.00	Professional		$1,287.24	$2,338.71	$8,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $3,033.59 / $8,863.74	Facility		$1,765.00	$3,033.59	$8,863.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,615.00 / $2,168.84 / $3,033.59	Professional		$1,615.00	$2,168.84	$3,033.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,719.00 / $2,464.40	Professional		$3.00	$1,719.00	$2,464.40
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 $1,159.69 / $2,168.32 / $3,145.95	Professional		$1,159.69	$2,168.32	$3,145.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,878.70 / $1,878.70 / $2,210.30	Professional		$1,878.70	$1,878.70	$2,210.30