Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.09 / $1,189.09 / $1,189.09	Facility		$1,189.09	$1,189.09	$1,189.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.17 / $1,373.38 / $3,493.00	Professional		$811.17	$1,373.38	$3,493.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.28 / $2,044.66 / $2,412.29	Professional		$1,591.28	$2,044.66	$2,412.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.73 / $1,646.71 / $2,665.20	Professional		$870.73	$1,646.71	$2,665.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,625.65 / $1,988.14 / $6,608.00	Facility		$1,625.65	$1,988.14	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,052.83 / $1,838.21 / $6,672.80	Professional		$1,052.83	$1,838.21	$6,672.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,342.22 / $1,807.09 / $2,189.71	Facility		$1,342.22	$1,807.09	$2,189.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,356.80 / $1,807.09 / $2,515.39	Professional		$1,356.80	$1,807.09	$2,515.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,689.50 / $2,305.90	Professional		$7.00	$1,689.50	$2,305.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.96 / $1,675.76 / $2,386.42	Professional		$1,008.96	$1,675.76	$2,386.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,172.40 / $1,172.40 / $1,379.30	Professional		$1,172.40	$1,172.40	$1,379.30