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 $854.80 / $1,531.71 / $1,531.71	Professional		$854.80	$1,531.71	$1,531.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.18 / $2,302.87 / $2,634.14	Professional		$2,034.18	$2,302.87	$2,634.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,470.54 / $2,663.25	Professional		$861.09	$1,470.54	$2,663.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,728.11 / $2,415.37 / $7,091.00	Facility		$1,728.11	$2,415.37	$7,091.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,203.90 / $2,180.90 / $8,596.00	Professional		$1,203.90	$2,180.90	$8,596.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,439.82 / $1,813.25 / $2,464.44	Facility		$1,439.82	$1,813.25	$2,464.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,504.20 / $2,034.18 / $2,840.66	Professional		$1,504.20	$2,034.18	$2,840.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,726.10 / $2,312.69	Professional		$3.00	$1,726.10	$2,312.69
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 $1,036.38 / $2,078.19 / $2,933.68	Professional		$1,036.38	$2,078.19	$2,933.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,762.10 / $1,762.10 / $2,073.10	Professional		$1,762.10	$1,762.10	$2,073.10