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 $1,071.77 / $2,014.72 / $3,419.00	Professional		$1,071.77	$2,014.72	$3,419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.86 / $2,629.46 / $3,286.83	Professional		$1,482.86	$2,629.46	$3,286.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $834.98 / $1,188.88 / $2,838.58	Professional		$834.98	$1,188.88	$2,838.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.32 / $1,970.00 / $3,876.00	Facility		$941.32	$1,970.00	$3,876.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,259.94 / $2,079.44 / $3,717.85	Professional		$1,259.94	$2,079.44	$3,717.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.18 / $1,703.00 / $2,958.83	Facility		$474.18	$1,703.00	$2,958.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,703.00 / $2,490.53 / $3,492.44	Professional		$1,703.00	$2,490.53	$3,492.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $598.26 / $1,159.28 / $2,069.31	Professional		$598.26	$1,159.28	$2,069.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $4,938.06	Facility		$1,611.00	$3,902.18	$4,938.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.43 / $1,779.20 / $3,619.89	Professional		$1,205.43	$1,779.20	$3,619.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,704.35 / $2,360.40 / $2,538.10	Professional		$1,704.35	$2,360.40	$2,538.10