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 $803.83 / $1,320.43 / $1,388.84	Professional		$803.83	$1,320.43	$1,388.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.00 / $1,990.60 / $2,488.25	Professional		$1,635.00	$1,990.60	$2,488.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $816.96 / $1,302.80 / $4,184.21	Professional		$816.96	$1,302.80	$4,184.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.20 / $2,166.73 / $8,332.67	Facility		$1,257.20	$2,166.73	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $913.72 / $1,744.37 / $6,535.04	Professional		$913.72	$1,744.37	$6,535.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,620.38 / $2,166.73 / $2,961.89	Facility		$1,620.38	$2,166.73	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,317.55 / $1,963.60 / $2,597.03	Professional		$1,317.55	$1,963.60	$2,597.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $868.53 / $1,606.09 / $3,259.56	Professional		$868.53	$1,606.09	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $872.18 / $1,329.04 / $2,475.34	Professional		$872.18	$1,329.04	$2,475.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,367.81 / $1,731.40 / $2,037.00	Professional		$1,367.81	$1,731.40	$2,037.00