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 $731.20 / $1,207.03 / $1,280.58	Professional		$731.20	$1,207.03	$1,280.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.00 / $1,845.69 / $2,307.11	Professional		$1,485.00	$1,845.69	$2,307.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $751.90 / $1,195.09 / $2,395.33	Professional		$751.90	$1,195.09	$2,395.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.03 / $1,972.11 / $27,371.16	Facility		$1,157.03	$1,972.11	$27,371.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.51 / $1,595.90 / $6,020.56	Professional		$841.51	$1,595.90	$6,020.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $1,996.44 / $27,371.16	Facility		$1,485.00	$1,996.44	$27,371.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,216.05 / $1,809.29 / $2,403.01	Professional		$1,216.05	$1,809.29	$2,403.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $785.13 / $1,435.60 / $29,648.18	Professional		$785.13	$1,435.60	$29,648.18
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.31 / $1,224.02 / $2,249.12	Professional		$799.31	$1,224.02	$2,249.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,260.36 / $1,595.40 / $1,876.90	Professional		$1,260.36	$1,595.40	$1,876.90