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 $993.76 / $1,553.20 / $2,200.46	Professional		$993.76	$1,553.20	$2,200.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.58 / $2,334.35 / $2,641.15	Professional		$2,062.58	$2,334.35	$2,641.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.23 / $1,562.70 / $2,643.12	Professional		$874.23	$1,562.70	$2,643.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,873.04 / $2,633.92 / $22,503.68	Facility		$1,873.04	$2,633.92	$22,503.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,225.96 / $2,221.25 / $7,026.40	Professional		$1,225.96	$2,221.25	$7,026.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $2,880.30 / $8,863.74	Facility		$1,712.00	$2,880.30	$8,863.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $2,062.58 / $2,880.30	Professional		$1,566.00	$2,062.58	$2,880.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,785.50 / $2,341.40	Professional		$3.00	$1,785.50	$2,341.40
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 $1,055.55 / $1,948.09 / $2,987.94	Professional		$1,055.55	$1,948.09	$2,987.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,786.70 / $1,786.70 / $2,102.00	Professional		$1,786.70	$1,786.70	$2,102.00