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 $864.96 / $1,550.25 / $1,550.25	Professional		$864.96	$1,550.25	$1,550.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,058.21 / $2,329.16 / $2,636.28	Professional		$2,058.21	$2,329.16	$2,636.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $872.36 / $1,489.94 / $2,598.04	Professional		$872.36	$1,489.94	$2,598.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,834.52 / $2,629.78 / $9,388.90	Facility		$1,834.52	$2,629.78	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,213.83 / $2,216.16 / $8,252.00	Professional		$1,213.83	$2,216.16	$8,252.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,677.00 / $2,482.96 / $3,170.91	Facility		$1,677.00	$2,482.96	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,535.00 / $2,058.21 / $2,871.99	Professional		$1,535.00	$2,058.21	$2,871.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,629.70 / $2,334.80	Professional		$3.00	$1,629.70	$2,334.80
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 $1,053.14 / $1,886.49 / $2,981.11	Professional		$1,053.14	$1,886.49	$2,981.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,782.90 / $1,782.90 / $2,097.50	Professional		$1,782.90	$1,782.90	$2,097.50