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 $911.70 / $1,712.41 / $1,712.41	Professional		$911.70	$1,712.41	$1,712.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.31 / $2,238.35 / $2,797.94	Professional		$1,153.31	$2,238.35	$2,797.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.55 / $1,236.98 / $2,777.61	Professional		$874.55	$1,236.98	$2,777.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,236.63 / $5,678.23	Facility		$1,371.00	$2,236.63	$5,678.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,065.90 / $1,763.83 / $3,215.98	Professional		$1,065.90	$1,763.83	$3,215.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $2,125.04 / $2,718.31	Facility		$1,444.00	$2,125.04	$2,718.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,444.00 / $1,912.93 / $2,718.31	Professional		$1,444.00	$1,912.93	$2,718.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $878.16 / $1,618.91 / $2,502.31	Professional		$878.16	$1,618.91	$2,502.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.87 / $1,476.59 / $2,729.48	Professional		$1,005.87	$1,476.59	$2,729.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.86 / $2,002.40 / $2,153.19	Professional		$1,445.86	$2,002.40	$2,153.19