Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,604.83 / $7,119.04	Facility		$3,468.00	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.14 / $1,282.21 / $4,763.00	Professional		$857.14	$1,282.21	$4,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.97 / $2,195.75 / $2,883.64	Professional		$1,157.97	$2,195.75	$2,883.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $748.58 / $1,349.53 / $2,544.11	Professional		$748.58	$1,349.53	$2,544.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,126.53 / $2,032.97 / $5,023.00	Facility		$1,126.53	$2,032.97	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,133.65 / $1,982.82 / $6,093.68	Professional		$1,133.65	$1,982.82	$6,093.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $1,913.58 / $2,497.08	Facility		$1,471.64	$1,913.58	$2,497.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,532.10 / $2,022.36 / $2,668.60	Professional		$1,532.10	$2,022.36	$2,668.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $760.29 / $1,435.60 / $2,021.72	Professional		$760.29	$1,435.60	$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 $1,039.18 / $1,511.54 / $2,855.48	Professional		$1,039.18	$1,511.54	$2,855.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,413.07 / $1,724.20 / $2,104.40	Professional		$1,413.07	$1,724.20	$2,104.40