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 $703.33 / $1,097.67 / $1,270.16	Professional		$703.33	$1,097.67	$1,270.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.16 / $1,825.43 / $2,281.79	Professional		$1,408.16	$1,825.43	$2,281.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $715.16 / $1,133.06 / $2,289.29	Professional		$715.16	$1,133.06	$2,289.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.04 / $1,951.27 / $7,896.02	Facility		$1,202.04	$1,951.27	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $796.15 / $1,512.47 / $5,922.40	Professional		$796.15	$1,512.47	$5,922.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,961.95 / $2,961.89	Facility		$1,380.00	$1,961.95	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,104.92 / $1,690.01 / $2,199.73	Professional		$1,104.92	$1,690.01	$2,199.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $774.58 / $1,392.28 / $3,259.56	Professional		$774.58	$1,392.28	$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 $758.73 / $1,158.03 / $2,156.83	Professional		$758.73	$1,158.03	$2,156.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,222.36 / $1,547.30 / $1,820.30	Professional		$1,222.36	$1,547.30	$1,820.30