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 / $9,248.33	Facility		$3,468.00	$4,917.20	$9,248.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.48 / $1,286.60 / $1,814.25	Professional		$803.48	$1,286.60	$1,814.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.88 / $1,932.88 / $2,190.23	Professional		$1,708.88	$1,932.88	$2,190.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $723.68 / $1,236.66 / $2,157.87	Professional		$723.68	$1,236.66	$2,157.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,529.16 / $2,168.69 / $9,388.90	Facility		$1,529.16	$2,168.69	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,008.97 / $1,831.88 / $5,818.24	Professional		$1,008.97	$1,831.88	$5,818.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,381.00 / $2,195.25 / $3,170.91	Facility		$1,381.00	$2,195.25	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,264.00 / $1,708.88 / $2,383.92	Professional		$1,264.00	$1,708.88	$2,383.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,346.40 / $1,939.90	Professional		$3.00	$1,346.40	$1,939.90
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 $909.56 / $1,747.66 / $2,467.42	Professional		$909.56	$1,747.66	$2,467.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,480.30 / $1,480.30 / $1,741.50	Professional		$1,480.30	$1,480.30	$1,741.50