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 $706.44 / $1,207.01 / $1,253.92	Professional		$706.44	$1,207.01	$1,253.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.94 / $1,798.16 / $2,247.69	Professional		$1,241.94	$1,798.16	$2,247.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.52 / $1,022.39 / $2,489.34	Professional		$739.52	$1,022.39	$2,489.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,924.94 / $6,267.00	Facility		$831.76	$1,924.94	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.50 / $1,576.00 / $5,902.16	Professional		$758.50	$1,576.00	$5,902.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,956.98 / $2,961.89	Facility		$1,089.00	$1,956.98	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,776.56 / $2,153.38	Professional		$976.00	$1,776.56	$2,153.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $786.45 / $1,457.79 / $3,259.56	Professional		$786.45	$1,457.79	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.59 / $1,206.82 / $2,247.69	Professional		$714.59	$1,206.82	$2,247.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,237.54 / $1,566.50 / $1,843.00	Professional		$1,237.54	$1,566.50	$1,843.00