Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,185.56 / $4,033.00 / $7,119.04	Facility		$2,185.56	$4,033.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.33 / $1,397.08 / $4,621.29	Professional		$856.33	$1,397.08	$4,621.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $2,083.10 / $2,672.31	Professional		$1,080.94	$2,083.10	$2,672.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $1,252.83 / $2,354.28	Professional		$698.82	$1,252.83	$2,354.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,070.61 / $1,886.06 / $5,023.00	Facility		$1,070.61	$1,886.06	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,053.91 / $1,843.55 / $5,676.88	Professional		$1,053.91	$1,843.55	$5,676.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,882.24 / $2,364.42	Facility		$1,471.64	$1,882.24	$2,364.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,424.16 / $1,884.16 / $2,476.44	Professional		$1,424.16	$1,884.16	$2,476.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $711.77 / $1,341.05 / $2,021.72	Professional		$711.77	$1,341.05	$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 $966.09 / $1,286.33 / $2,495.80	Professional		$966.09	$1,286.33	$2,495.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,310.53 / $1,608.40 / $1,951.60	Professional		$1,310.53	$1,608.40	$1,951.60