Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.98 / $1,188.16 / $1,330.80	Professional		$759.98	$1,188.16	$1,330.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.00 / $1,910.35 / $2,387.94	Professional		$1,487.00	$1,910.35	$2,387.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $746.48 / $1,179.95 / $2,955.43	Professional		$746.48	$1,179.95	$2,955.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,330.80 / $2,051.66 / $11,139.12	Facility		$1,330.80	$2,051.66	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.70 / $1,626.57 / $6,192.16	Professional		$841.70	$1,626.57	$6,192.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $2,051.66 / $6,616.19	Facility		$1,487.00	$2,051.66	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,194.80 / $1,824.16 / $2,374.37	Professional		$1,194.80	$1,824.16	$2,374.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $789.04 / $1,454.47 / $7,323.26	Professional		$789.04	$1,454.47	$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 $803.44 / $1,224.29 / $2,280.23	Professional		$803.44	$1,224.29	$2,280.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,275.06 / $1,614.00 / $1,898.80	Professional		$1,275.06	$1,614.00	$1,898.80