Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $926.64 / $1,136.96	Professional		$694.14	$926.64	$1,136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.40 / $1,660.97 / $2,153.23	Professional		$1,331.40	$1,660.97	$2,153.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $1,089.49 / $1,935.42	Professional		$568.46	$1,089.49	$1,935.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.36 / $1,728.10 / $9,318.87	Facility		$1,088.36	$1,728.10	$9,318.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.59 / $1,660.97 / $5,582.48	Professional		$891.59	$1,660.97	$5,582.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,850.44 / $2,865.45	Facility		$1,285.00	$1,850.44	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,094.27 / $1,530.67 / $2,039.29	Professional		$1,094.27	$1,530.67	$2,039.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,285.90 / $1,967.40	Professional		$5.00	$1,285.90	$1,967.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.93 / $1,472.32 / $2,326.63	Professional		$821.93	$1,472.32	$2,326.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,113.40 / $1,309.90 / $1,595.90	Professional		$1,113.40	$1,309.90	$1,595.90