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 $955.84 / $1,487.31 / $1,742.25	Professional		$955.84	$1,487.31	$1,742.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $2,328.73 / $2,910.91	Professional		$1,924.00	$2,328.73	$2,910.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $981.35 / $1,544.82 / $3,470.21	Professional		$981.35	$1,544.82	$3,470.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,385.50 / $2,565.14 / $11,869.99	Facility		$1,385.50	$2,565.14	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.99 / $2,084.29 / $7,734.40	Professional		$1,099.99	$2,084.29	$7,734.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,916.01 / $2,565.14 / $5,874.92	Facility		$1,916.01	$2,565.14	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,595.76 / $2,312.21 / $3,139.42	Professional		$1,595.76	$2,312.21	$3,139.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.28 / $1,858.18 / $6,132.86	Professional		$1,029.28	$1,858.18	$6,132.86
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 $1,049.99 / $1,599.98 / $2,999.97	Professional		$1,049.99	$1,599.98	$2,999.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,610.65 / $2,038.80 / $2,398.60	Professional		$1,610.65	$2,038.80	$2,398.60