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 $808.99 / $1,332.41 / $1,409.07	Professional		$808.99	$1,332.41	$1,409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $2,034.23 / $2,542.79	Professional		$1,592.00	$2,034.23	$2,542.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.67 / $1,307.30 / $2,850.83	Professional		$821.67	$1,307.30	$2,850.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,390.01 / $2,198.12 / $7,896.02	Facility		$1,390.01	$2,198.12	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.49 / $1,808.89 / $6,722.39	Professional		$921.49	$1,808.89	$6,722.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,592.00 / $2,198.12 / $2,961.89	Facility		$1,592.00	$2,198.12	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,328.17 / $1,989.07 / $2,624.22	Professional		$1,328.17	$1,989.07	$2,624.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $871.53 / $1,601.34 / $3,259.56	Professional		$871.53	$1,601.34	$3,259.56
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 $878.39 / $1,340.35 / $2,496.41	Professional		$878.39	$1,340.35	$2,496.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,385.58 / $1,753.90 / $2,063.40	Professional		$1,385.58	$1,753.90	$2,063.40