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 $928.10 / $1,443.09 / $1,678.43	Professional		$928.10	$1,443.09	$1,678.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.80 / $2,319.77 / $2,865.14	Professional		$1,572.80	$2,319.77	$2,865.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $940.14 / $1,446.37 / $3,186.41	Professional		$940.14	$1,446.37	$3,186.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,057.66 / $2,262.13 / $11,854.53	Facility		$1,057.66	$2,262.13	$11,854.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,063.46 / $2,260.53 / $7,526.48	Professional		$1,063.46	$2,260.53	$7,526.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $2,260.53 / $3,034.28	Facility		$1,539.00	$2,260.53	$3,034.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $2,260.53 / $3,034.28	Professional		$1,539.00	$2,260.53	$3,034.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,858.60 / $2,616.90	Professional		$3.00	$1,858.60	$2,616.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.12 / $1,807.88 / $3,147.16	Professional		$1,015.12	$1,807.88	$3,147.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,574.71 / $1,993.30 / $2,345.00	Professional		$1,574.71	$1,993.30	$2,345.00