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 $797.98 / $1,288.22 / $1,440.07	Professional		$797.98	$1,288.22	$1,440.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.44 / $2,059.16 / $2,573.94	Professional		$1,595.44	$2,059.16	$2,573.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.28 / $1,300.74 / $2,591.30	Professional		$819.28	$1,300.74	$2,591.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,321.36 / $2,217.71 / $7,896.02	Facility		$1,321.36	$2,217.71	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $909.27 / $1,734.52 / $6,720.88	Professional		$909.27	$1,734.52	$6,720.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $2,227.11 / $2,961.89	Facility		$1,593.00	$2,227.11	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,936.32 / $2,520.36	Professional		$1,281.33	$1,936.32	$2,520.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $875.19 / $1,622.46 / $3,259.56	Professional		$875.19	$1,622.46	$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 $866.73 / $1,322.58 / $2,463.30	Professional		$866.73	$1,322.58	$2,463.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,390.64 / $1,760.30 / $2,071.00	Professional		$1,390.64	$1,760.30	$2,071.00