Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.07 / $1,042.52 / $1,121.00	Professional		$645.07	$1,042.52	$1,121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.00 / $1,611.96 / $2,014.95	Professional		$1,301.00	$1,611.96	$2,014.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.35 / $1,051.08 / $2,166.26	Professional		$659.35	$1,051.08	$2,166.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $1,749.92 / $7,896.02	Facility		$1,121.00	$1,749.92	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,405.82 / $5,773.90	Professional		$736.38	$1,405.82	$5,773.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,309.19 / $1,749.92 / $2,961.89	Facility		$1,309.19	$1,749.92	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,040.17 / $1,587.33 / $2,093.17	Professional		$1,040.17	$1,587.33	$2,093.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $700.72 / $1,300.16 / $3,259.56	Professional		$700.72	$1,300.16	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $702.91 / $1,071.09 / $2,179.23	Professional		$702.91	$1,071.09	$2,179.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,105.76 / $1,399.70 / $1,646.70	Professional		$1,105.76	$1,399.70	$1,646.70