Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $1,178.03 / $1,459.75	Professional		$854.67	$1,178.03	$1,459.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,753.00 / $2,088.77 / $2,610.96	Professional		$1,753.00	$2,088.77	$2,610.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $864.85 / $1,375.89 / $3,516.86	Professional		$864.85	$1,375.89	$3,516.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,351.40 / $2,194.71 / $7,221.00	Facility		$1,351.40	$2,194.71	$7,221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $966.22 / $1,844.60 / $6,866.88	Professional		$966.22	$1,844.60	$6,866.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,753.00 / $2,462.86	Facility		$1,285.00	$1,753.00	$2,462.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,358.29 / $2,067.66 / $2,753.17	Professional		$1,358.29	$2,067.66	$2,753.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $884.05 / $1,656.19 / $1,852.94	Professional		$884.05	$1,656.19	$1,852.94
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 $922.30 / $1,405.41 / $2,629.29	Professional		$922.30	$1,405.41	$2,629.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,440.33 / $1,823.20 / $2,145.00	Professional		$1,440.33	$1,823.20	$2,145.00