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 $713.43 / $1,239.04 / $1,270.85	Professional		$713.43	$1,239.04	$1,270.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.97 / $1,787.38 / $2,184.03	Professional		$1,563.97	$1,787.38	$2,184.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $735.23 / $1,178.81 / $2,262.73	Professional		$735.23	$1,178.81	$2,262.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $2,093.98 / $9,346.00	Facility		$1,239.04	$2,093.98	$9,346.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $858.10 / $1,660.98 / $13,245.15	Professional		$858.10	$1,660.98	$13,245.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,427.93 / $1,832.06 / $2,381.01	Facility		$1,427.93	$1,832.06	$2,381.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,232.67 / $1,737.25 / $2,381.01	Professional		$1,232.67	$1,737.25	$2,381.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $728.73 / $1,300.78 / $1,558.06	Professional		$728.73	$1,300.78	$1,558.06
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $803.70 / $1,224.69 / $2,296.29	Professional		$803.70	$1,224.69	$2,296.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,210.20 / $1,531.90 / $1,802.20	Professional		$1,210.20	$1,531.90	$1,802.20