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 $791.65 / $1,237.47 / $1,402.89	Professional		$791.65	$1,237.47	$1,402.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.00 / $2,010.86 / $2,513.57	Professional		$1,556.00	$2,010.86	$2,513.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $790.05 / $1,252.09 / $2,627.68	Professional		$790.05	$1,252.09	$2,627.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.99 / $2,160.44 / $7,896.02	Facility		$1,380.99	$2,160.44	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.76 / $1,696.93 / $6,898.69	Professional		$888.76	$1,696.93	$6,898.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,556.00 / $2,165.89 / $2,961.89	Facility		$1,556.00	$2,165.89	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,244.57 / $1,895.86 / $2,467.67	Professional		$1,244.57	$1,895.86	$2,467.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $854.48 / $1,536.52 / $3,259.56	Professional		$854.48	$1,536.52	$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 $848.36 / $1,292.74 / $2,390.30	Professional		$848.36	$1,292.74	$2,390.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.61 / $1,707.10 / $2,008.30	Professional		$1,348.61	$1,707.10	$2,008.30