Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.25 / $1,427.76 / $1,705.73	Professional		$922.25	$1,427.76	$1,705.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,909.00 / $2,249.96 / $2,789.18	Professional		$1,909.00	$2,249.96	$2,789.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $935.57 / $1,431.86 / $3,015.12	Professional		$935.57	$1,431.86	$3,015.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,427.76 / $2,308.80 / $3,396.00	Facility		$1,427.76	$2,308.80	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.14 / $1,997.29 / $10,776.75	Professional		$1,050.14	$1,997.29	$10,776.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,843.14 / $2,306.21 / $3,016.39	Facility		$1,843.14	$2,306.21	$3,016.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,565.94 / $2,170.28 / $3,016.39	Professional		$1,565.94	$2,170.28	$3,016.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.02 / $1,590.47 / $1,870.54	Professional		$891.02	$1,590.47	$1,870.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.58 / $1,524.69 / $2,858.79	Professional		$1,000.58	$1,524.69	$2,858.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,511.82 / $1,913.70 / $2,251.40	Professional		$1,511.82	$1,913.70	$2,251.40