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 $769.56 / $1,243.58 / $1,395.42	Professional		$769.56	$1,243.58	$1,395.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.05 / $1,994.50 / $2,493.12	Professional		$1,545.05	$1,994.50	$2,493.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $793.21 / $1,259.24 / $2,280.77	Professional		$793.21	$1,259.24	$2,280.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,295.46 / $2,148.94 / $11,139.12	Facility		$1,295.46	$2,148.94	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $880.21 / $1,676.28 / $6,509.84	Professional		$880.21	$1,676.28	$6,509.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,536.00 / $2,157.13 / $8,830.11	Facility		$1,536.00	$2,157.13	$8,830.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,236.64 / $1,871.10 / $2,435.46	Professional		$1,236.64	$1,871.10	$2,435.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $846.58 / $1,548.43 / $9,278.68	Professional		$846.58	$1,548.43	$9,278.68
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 $840.20 / $1,280.30 / $2,604.86	Professional		$840.20	$1,280.30	$2,604.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,346.56 / $1,704.50 / $2,005.30	Professional		$1,346.56	$1,704.50	$2,005.30