Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $6,760.83	Facility		$1,698.24	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,454.71	Professional		$912.01	$1,148.15	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $2,884.03	Professional		$1,230.27	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,884.03	Professional		$707.95	$1,230.27	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $5,888.44	Facility		$1,380.38	$2,290.87	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $7,244.36	Professional		$1,071.52	$1,905.46	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,570.40	Professional		$1,584.89	$2,238.72	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $1,862.09	Professional		$831.76	$1,479.11	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $6,025.60	Facility		$1,148.15	$2,137.96	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,754.23	Professional		$1,000.00	$1,479.11	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,137.96	Professional		$1,445.44	$1,995.26	$2,137.96