Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $7,090.00 / $11,611.47	Facility		$4,964.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.54 / $1,627.34 / $2,516.67	Professional		$958.54	$1,627.34	$2,516.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,574.24 / $2,355.21 / $2,944.02	Professional		$1,574.24	$2,355.21	$2,944.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.50 / $1,308.19 / $3,980.77	Professional		$928.50	$1,308.19	$3,980.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,156.00 / $3,048.11 / $11,732.00	Facility		$2,156.00	$3,048.11	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,192.42 / $2,230.69 / $4,801.18	Professional		$1,192.42	$2,230.69	$4,801.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,763.61 / $4,188.66	Facility		$1,932.00	$2,763.61	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,605.78 / $2,422.58 / $3,121.19	Professional		$1,605.78	$2,422.58	$3,121.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $911.92 / $1,718.78 / $4,367.31	Professional		$911.92	$1,718.78	$4,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.10 / $1,739.30 / $3,234.73	Professional		$1,077.10	$1,739.30	$3,234.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,526.52 / $2,114.19 / $2,273.30	Professional		$1,526.52	$2,114.19	$2,273.30