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 $966.35 / $1,532.12 / $1,532.12	Professional		$966.35	$1,532.12	$1,532.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,312.96 / $2,699.25 / $3,067.33	Professional		$2,312.96	$2,699.25	$3,067.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.36 / $1,746.44 / $2,777.27	Professional		$1,053.36	$1,746.44	$2,777.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,437.27 / $2,660.38 / $6,423.40	Facility		$1,437.27	$2,660.38	$6,423.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.30 / $2,495.85 / $8,693.06	Professional		$1,218.30	$2,495.85	$8,693.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,387.40 / $1,922.00 / $3,067.33	Facility		$1,387.40	$1,922.00	$3,067.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,581.22 / $2,423.58 / $3,169.89	Professional		$1,581.22	$2,423.58	$3,169.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,992.90 / $2,846.60	Professional		$6.00	$1,992.90	$2,846.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,988.00 / $8,342.00	Facility		$3,711.00	$5,988.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.79 / $2,091.42 / $3,304.94	Professional		$1,121.79	$2,091.42	$3,304.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,227.50 / $2,227.50 / $2,620.60	Professional		$2,227.50	$2,227.50	$2,620.60