Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $6,446.00	Facility		$2,833.00	$4,235.59	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.54 / $940.36 / $3,401.00	Professional		$633.54	$940.36	$3,401.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.52 / $1,675.40 / $2,198.04	Professional		$886.52	$1,675.40	$2,198.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $571.66 / $1,025.76 / $1,785.83	Professional		$571.66	$1,025.76	$1,785.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.97 / $1,589.21 / $5,023.00	Facility		$880.97	$1,589.21	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $1,481.01 / $4,647.04	Professional		$846.00	$1,481.01	$4,647.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $1,620.06 / $2,040.49	Facility		$1,187.00	$1,620.06	$2,040.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,542.07 / $2,040.49	Professional		$1,087.00	$1,542.07	$2,040.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.54 / $1,498.54 / $1,498.54	Facility		$1,498.54	$1,498.54	$1,498.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $595.50 / $1,097.99 / $2,021.72	Professional		$595.50	$1,097.99	$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 $801.10 / $994.35 / $1,954.77	Professional		$801.10	$994.35	$1,954.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,078.19 / $1,318.30 / $1,605.60	Professional		$1,078.19	$1,318.30	$1,605.60