Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.61 / $933.09 / $1,403.00	Professional		$811.61	$933.09	$1,403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.00 / $2,006.96 / $2,508.69	Professional		$1,671.00	$2,006.96	$2,508.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $827.48 / $1,320.57 / $2,836.26	Professional		$827.48	$1,320.57	$2,836.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.33 / $2,189.05 / $14,242.22	Facility		$1,285.33	$2,189.05	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.92 / $1,749.90 / $6,601.92	Professional		$927.92	$1,749.90	$6,601.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,636.20 / $2,189.05 / $6,616.19	Facility		$1,636.20	$2,189.05	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,336.74 / $1,985.42 / $2,639.57	Professional		$1,336.74	$1,985.42	$2,639.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.38 / $1,617.50 / $7,323.26	Professional		$880.38	$1,617.50	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $927.92 / $1,349.70 / $2,746.04	Professional		$927.92	$1,349.70	$2,746.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,383.05 / $1,750.70 / $2,059.60	Professional		$1,383.05	$1,750.70	$2,059.60