Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $1,338.92 / $1,407.21	Professional		$810.61	$1,338.92	$1,407.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.00 / $2,017.87 / $2,522.34	Professional		$1,640.00	$2,017.87	$2,522.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $828.93 / $1,322.31 / $3,279.84	Professional		$828.93	$1,322.31	$3,279.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,301.08 / $2,181.17 / $14,479.00	Facility		$1,301.08	$2,181.17	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $926.85 / $1,769.44 / $7,294.58	Professional		$926.85	$1,769.44	$7,294.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $1,999.25 / $2,634.70	Facility		$1,640.00	$1,999.25	$2,634.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,337.36 / $1,991.97 / $2,634.70	Professional		$1,337.36	$1,991.97	$2,634.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $852.36 / $1,573.55 / $9,388.42	Professional		$852.36	$1,573.55	$9,388.42
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 $884.72 / $1,348.14 / $2,470.87	Professional		$884.72	$1,348.14	$2,470.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,387.64 / $1,756.50 / $2,066.40	Professional		$1,387.64	$1,756.50	$2,066.40