Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,111.00 / $1,111.00	Facility		$1,111.00	$1,111.00	$1,111.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.41 / $1,678.61 / $3,500.63	Professional		$989.41	$1,678.61	$3,500.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.30 / $2,414.42 / $3,018.04	Professional		$1,915.30	$2,414.42	$3,018.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.58 / $1,645.06 / $2,699.61	Professional		$1,085.58	$1,645.06	$2,699.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,250.33 / $2,091.39 / $5,847.00	Facility		$1,250.33	$2,091.39	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,211.01 / $2,207.69 / $8,326.08	Professional		$1,211.01	$2,207.69	$8,326.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,623.34 / $2,091.39 / $2,602.35	Facility		$1,623.34	$2,091.39	$2,602.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,611.57 / $2,091.39 / $3,073.64	Professional		$1,611.57	$2,091.39	$3,073.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,033.10 / $2,821.40	Professional		$5.00	$2,033.10	$2,821.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.33 / $1,966.00 / $7,305.00	Facility		$1,250.33	$1,966.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.01 / $1,664.11 / $2,864.30	Professional		$1,211.01	$1,664.11	$2,864.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,463.60 / $1,463.60 / $1,721.90	Professional		$1,463.60	$1,463.60	$1,721.90