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 $914.26 / $1,717.04 / $3,419.00	Professional		$914.26	$1,717.04	$3,419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.54 / $2,254.71 / $2,818.39	Professional		$1,153.54	$2,254.71	$2,818.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $1,244.58 / $2,861.82	Professional		$879.33	$1,244.58	$2,861.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.45 / $2,644.24 / $6,945.09	Facility		$1,181.45	$2,644.24	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,080.95 / $1,816.26 / $3,261.62	Professional		$1,080.95	$1,816.26	$3,261.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,514.83 / $2,126.61 / $2,677.24	Facility		$1,514.83	$2,126.61	$2,677.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,432.00 / $1,963.82 / $2,677.24	Professional		$1,432.00	$1,963.82	$2,677.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,377.26 / $1,511.40 / $1,753.13	Professional		$1,377.26	$1,511.40	$1,753.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.81 / $1,503.94 / $3,059.85	Professional		$1,024.81	$1,503.94	$3,059.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,455.34 / $2,015.50 / $2,167.19	Professional		$1,455.34	$2,015.50	$2,167.19