Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $8,042.03	Facility		$3,468.00	$4,964.00	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.79 / $1,103.97 / $4,198.00	Professional		$801.79	$1,103.97	$4,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.29 / $1,914.84 / $2,505.78	Professional		$1,012.29	$1,914.84	$2,505.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $1,182.57 / $2,152.07	Professional		$649.61	$1,182.57	$2,152.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.18 / $1,802.59 / $5,023.00	Facility		$1,005.18	$1,802.59	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.68 / $1,688.64 / $5,266.00	Professional		$980.68	$1,688.64	$5,266.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,464.52 / $1,747.26 / $2,305.56	Facility		$1,464.52	$1,747.26	$2,305.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,311.99 / $1,747.26 / $2,327.52	Professional		$1,311.99	$1,747.26	$2,327.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $680.43 / $1,253.05 / $2,021.72	Professional		$680.43	$1,253.05	$2,021.72
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 $871.00 / $1,225.84 / $2,409.67	Professional		$871.00	$1,225.84	$2,409.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,232.32 / $1,498.20 / $1,835.10	Professional		$1,232.32	$1,498.20	$1,835.10