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 $725.56 / $1,193.17 / $3,857.00	Professional		$725.56	$1,193.17	$3,857.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.58 / $1,786.48 / $2,233.10	Professional		$1,158.58	$1,786.48	$2,233.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $734.53 / $1,165.58 / $1,978.75	Professional		$734.53	$1,165.58	$1,978.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $974.25 / $1,898.58 / $5,521.00	Facility		$974.25	$1,898.58	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.60 / $1,435.35 / $2,464.39	Professional		$870.60	$1,435.35	$2,464.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,277.06 / $1,716.91 / $2,364.42	Facility		$1,277.06	$1,716.91	$2,364.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,063.90 / $1,664.38 / $2,374.85	Professional		$1,063.90	$1,664.38	$2,374.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.06 / $1,437.37 / $3,842.94	Professional		$777.06	$1,437.37	$3,842.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.74 / $1,156.70 / $2,175.21	Professional		$832.74	$1,156.70	$2,175.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,129.70 / $1,430.00 / $1,682.40	Professional		$1,129.70	$1,430.00	$1,682.40