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 $638.12 / $1,076.71 / $1,129.36	Professional		$638.12	$1,076.71	$1,129.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.49 / $1,623.64 / $2,029.56	Professional		$1,267.49	$1,623.64	$2,029.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.31 / $1,059.05 / $2,484.04	Professional		$664.31	$1,059.05	$2,484.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,129.36 / $1,762.47 / $11,139.12	Facility		$1,129.36	$1,762.47	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.85 / $1,404.73 / $5,316.00	Professional		$742.85	$1,404.73	$5,316.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $1,762.47 / $8,351.79	Facility		$1,244.00	$1,762.47	$8,351.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,073.53 / $1,598.96 / $2,114.83	Professional		$1,073.53	$1,598.96	$2,114.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $706.03 / $1,310.11 / $11,407.39	Professional		$706.03	$1,310.11	$11,407.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.33 / $1,012.98 / $1,964.45	Professional		$708.33	$1,012.98	$1,964.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,113.82 / $1,409.90 / $1,658.70	Professional		$1,113.82	$1,409.90	$1,658.70