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 $926.69 / $1,660.86 / $1,660.86	Professional		$926.69	$1,660.86	$1,660.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,205.23 / $2,495.56 / $2,823.26	Professional		$2,205.23	$2,495.56	$2,823.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.02 / $1,596.92 / $2,810.29	Professional		$935.02	$1,596.92	$2,810.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,976.59 / $2,843.74 / $12,371.41	Facility		$1,976.59	$2,843.74	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,311.26 / $2,375.71 / $7,823.00	Professional		$1,311.26	$2,375.71	$7,823.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.00 / $3,079.48 / $4,818.76	Facility		$1,737.00	$3,079.48	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $2,205.23 / $3,079.48	Professional		$1,589.00	$2,205.23	$3,079.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,718.50 / $2,502.19	Professional		$3.00	$1,718.50	$2,502.19
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 $1,128.96 / $2,022.30 / $3,195.73	Professional		$1,128.96	$2,022.30	$3,195.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,910.20 / $1,910.20 / $2,247.40	Professional		$1,910.20	$1,910.20	$2,247.40