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 $863.79 / $1,461.71 / $1,551.85	Professional		$863.79	$1,461.71	$1,551.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,741.26 / $2,234.46 / $2,793.07	Professional		$1,741.26	$2,234.46	$2,793.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $907.28 / $1,444.65 / $3,470.51	Professional		$907.28	$1,444.65	$3,470.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,469.92 / $2,389.85 / $11,139.12	Facility		$1,469.92	$2,389.85	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $987.64 / $2,002.39 / $7,302.88	Professional		$987.64	$2,002.39	$7,302.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,684.00 / $2,420.86 / $6,616.19	Facility		$1,684.00	$2,420.86	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,478.88 / $2,120.52 / $2,902.90	Professional		$1,478.88	$2,120.52	$2,902.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $963.10 / $1,761.38 / $7,323.26	Professional		$963.10	$1,761.38	$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 $973.38 / $1,483.25 / $3,017.76	Professional		$973.38	$1,483.25	$3,017.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,526.52 / $1,932.30 / $2,273.30	Professional		$1,526.52	$1,932.30	$2,273.30