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 $996.07 / $1,592.36 / $3,276.49	Professional		$996.07	$1,592.36	$3,276.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,114.26 / $2,392.56 / $2,706.40	Professional		$2,114.26	$2,392.56	$2,706.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $896.39 / $1,531.13 / $2,689.89	Professional		$896.39	$1,531.13	$2,689.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,818.82 / $2,683.08 / $10,061.00	Facility		$1,818.82	$2,683.08	$10,061.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.81 / $2,272.66 / $7,307.00	Professional		$1,254.81	$2,272.66	$7,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,724.00 / $2,531.96 / $3,170.91	Facility		$1,724.00	$2,531.96	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $2,114.26 / $2,951.23	Professional		$1,578.00	$2,114.26	$2,951.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,666.90 / $2,398.19	Professional		$3.00	$1,666.90	$2,398.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.35 / $1,935.25 / $3,058.16	Professional		$1,080.35	$1,935.25	$3,058.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,831.40 / $1,831.40 / $2,154.60	Professional		$1,831.40	$1,831.40	$2,154.60