Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.39 / $1,422.35 / $3,180.60	Professional		$912.39	$1,422.35	$3,180.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,230.69 / $2,788.20	Professional		$1,836.00	$2,230.69	$2,788.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $938.31 / $1,482.46 / $2,908.72	Professional		$938.31	$1,482.46	$2,908.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,321.36 / $2,450.55 / $11,869.99	Facility		$1,321.36	$2,450.55	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,054.43 / $1,995.08 / $7,389.44	Professional		$1,054.43	$1,995.08	$7,389.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,829.55 / $2,450.55 / $5,874.92	Facility		$1,829.55	$2,450.55	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,526.79 / $2,230.69 / $3,011.66	Professional		$1,526.79	$2,230.69	$3,011.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $997.59 / $1,822.29 / $8,249.49	Professional		$997.59	$1,822.29	$8,249.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.50 / $1,533.71 / $2,875.71	Professional		$1,006.50	$1,533.71	$2,875.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,553.93 / $1,967.00 / $2,314.10	Professional		$1,553.93	$1,967.00	$2,314.10