Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.37 / $3,701.00 / $8,035.71	Facility		$1,908.37	$3,701.00	$8,035.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $1,164.27 / $3,344.00	Professional		$628.41	$1,164.27	$3,344.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.33 / $1,691.39 / $2,218.48	Professional		$900.33	$1,691.39	$2,218.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $1,040.38 / $1,854.95	Professional		$608.79	$1,040.38	$1,854.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.17 / $1,691.39 / $5,023.00	Facility		$892.17	$1,691.39	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.54 / $1,464.32 / $2,375.42	Professional		$872.54	$1,464.32	$2,375.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,221.00 / $1,691.39 / $2,063.31	Facility		$1,221.00	$1,691.39	$2,063.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,132.00 / $1,645.21 / $2,063.31	Professional		$1,132.00	$1,645.21	$2,063.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $623.07 / $1,166.14 / $2,021.72	Professional		$623.07	$1,166.14	$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 $766.20 / $1,056.70 / $2,008.76	Professional		$766.20	$1,056.70	$2,008.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,088.46 / $1,377.80 / $1,621.00	Professional		$1,088.46	$1,377.80	$1,621.00