Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.66 / $1,157.55 / $1,214.03	Professional		$702.66	$1,157.55	$1,214.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,489.92 / $1,740.51 / $2,175.64	Professional		$1,489.92	$1,740.51	$2,175.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.46 / $1,138.84 / $2,702.99	Professional		$729.46	$1,138.84	$2,702.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.03 / $2,027.83 / $11,139.12	Facility		$1,214.03	$2,027.83	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $809.40 / $1,570.88 / $6,555.30	Professional		$809.40	$1,570.88	$6,555.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,416.41 / $2,040.53 / $6,616.19	Facility		$1,416.41	$2,040.53	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,739.36 / $2,274.96	Professional		$1,155.00	$1,739.36	$2,274.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.23 / $1,377.48 / $7,323.26	Professional		$759.23	$1,377.48	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $1,198.47 / $2,239.41	Professional		$763.22	$1,198.47	$2,239.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $1,513.90 / $1,781.00	Professional		$1,195.98	$1,513.90	$1,781.00