Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $1,385.87 / $1,533.89	Professional		$841.71	$1,385.87	$1,533.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,192.39 / $2,192.39 / $2,740.48	Professional		$2,192.39	$2,192.39	$2,740.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.65 / $1,376.63 / $3,087.84	Professional		$867.65	$1,376.63	$3,087.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,240.31 / $2,304.04 / $7,896.02	Facility		$1,240.31	$2,304.04	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.32 / $1,830.25 / $7,149.12	Professional		$977.32	$1,830.25	$7,149.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,613.00 / $2,368.73 / $3,051.35	Facility		$1,613.00	$2,368.73	$3,051.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.89 / $2,079.42 / $2,719.75	Professional		$1,380.89	$2,079.42	$2,719.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.17 / $1,717.11 / $3,259.56	Professional		$931.17	$1,717.11	$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 $919.10 / $1,415.12 / $2,647.64	Professional		$919.10	$1,415.12	$2,647.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,476.35 / $1,868.80 / $2,198.60	Professional		$1,476.35	$1,868.80	$2,198.60