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 $643.19 / $1,029.65 / $1,146.63	Professional		$643.19	$1,029.65	$1,146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.93 / $1,643.90 / $2,054.88	Professional		$1,266.93	$1,643.90	$2,054.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $640.24 / $1,011.90 / $2,068.12	Professional		$640.24	$1,011.90	$2,068.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,114.25 / $1,765.81 / $7,896.02	Facility		$1,114.25	$1,765.81	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.81 / $1,360.82 / $5,332.96	Professional		$712.81	$1,360.82	$5,332.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,251.00 / $1,766.84 / $2,961.89	Facility		$1,251.00	$1,766.84	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,022.56 / $1,523.41 / $1,982.90	Professional		$1,022.56	$1,523.41	$1,982.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $679.54 / $1,249.36 / $3,259.56	Professional		$679.54	$1,249.36	$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 $680.41 / $1,052.63 / $1,931.07	Professional		$680.41	$1,052.63	$1,931.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,095.57 / $1,386.80 / $1,631.60	Professional		$1,095.57	$1,386.80	$1,631.60