Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $1,061.96 / $1,169.06	Professional		$657.72	$1,061.96	$1,169.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.42 / $1,640.45 / $2,031.50	Professional		$1,292.42	$1,640.45	$2,031.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.48 / $1,094.21 / $2,822.82	Professional		$729.48	$1,094.21	$2,822.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $882.56 / $1,361.88 / $2,009.26	Facility		$882.56	$1,361.88	$2,009.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $751.53 / $1,434.74 / $5,018.75	Professional		$751.53	$1,434.74	$5,018.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,292.42 / $1,640.45 / $2,322.39	Facility		$1,292.42	$1,640.45	$2,322.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,347.71 / $1,640.63 / $2,322.39	Professional		$1,347.71	$1,640.63	$2,322.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $1,227.51 / $1,471.59	Professional		$687.68	$1,227.51	$1,471.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.37 / $1,093.14 / $2,142.34	Professional		$717.37	$1,093.14	$2,142.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,446.50 / $1,701.80	Professional		$1,142.74	$1,446.50	$1,701.80