Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.44 / $4,964.00 / $7,120.36	Facility		$2,311.44	$4,964.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.34 / $1,036.65 / $1,823.59	Professional		$708.34	$1,036.65	$1,823.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.00 / $1,749.86 / $2,187.32	Professional		$1,451.00	$1,749.86	$2,187.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $715.20 / $1,135.88 / $2,457.56	Professional		$715.20	$1,135.88	$2,457.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,172.78 / $1,897.62 / $12,342.67	Facility		$1,172.78	$1,897.62	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.02 / $1,518.04 / $5,722.48	Professional		$800.02	$1,518.04	$5,722.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.99 / $1,897.62 / $7,997.13	Facility		$1,420.99	$1,897.62	$7,997.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,159.56 / $1,717.61 / $2,289.21	Professional		$1,159.56	$1,717.61	$2,289.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.99 / $1,369.99 / $1,369.99	Professional		$1,369.99	$1,369.99	$1,369.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $763.65 / $1,163.66 / $2,174.31	Professional		$763.65	$1,163.66	$2,174.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,196.46 / $1,514.50 / $1,781.80	Professional		$1,196.46	$1,514.50	$1,781.80