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 $682.72 / $1,093.35 / $1,246.39	Professional		$682.72	$1,093.35	$1,246.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.81 / $1,788.03 / $2,235.04	Professional		$1,381.81	$1,788.03	$2,235.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $705.12 / $1,118.13 / $2,217.90	Professional		$705.12	$1,118.13	$2,217.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.51 / $1,919.44 / $11,139.12	Facility		$1,134.51	$1,919.44	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.93 / $1,463.21 / $5,818.96	Professional		$778.93	$1,463.21	$5,818.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,927.94 / $8,009.77	Facility		$1,350.00	$1,927.94	$8,009.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,089.94 / $1,642.43 / $2,148.17	Professional		$1,089.94	$1,642.43	$2,148.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.83 / $1,394.68 / $8,832.94	Professional		$759.83	$1,394.68	$8,832.94
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 $735.20 / $1,132.99 / $2,110.19	Professional		$735.20	$1,132.99	$2,110.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,201.51 / $1,520.90 / $1,789.30	Professional		$1,201.51	$1,520.90	$1,789.30