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 $900.83 / $1,491.19 / $1,557.67	Professional		$900.83	$1,491.19	$1,557.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.00 / $2,226.67 / $2,783.33	Professional		$1,885.00	$2,226.67	$2,783.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $928.03 / $1,467.75 / $3,028.26	Professional		$928.03	$1,467.75	$3,028.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,421.52 / $2,428.57 / $20,471.75	Facility		$1,421.52	$2,428.57	$20,471.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $1,964.11 / $7,323.92	Professional		$1,028.82	$1,964.11	$7,323.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,815.05 / $2,428.57 / $20,471.75	Facility		$1,815.05	$2,428.57	$20,471.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,490.17 / $2,204.51 / $2,940.80	Professional		$1,490.17	$2,204.51	$2,940.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.50 / $1,797.92 / $21,750.55	Professional		$978.50	$1,797.92	$21,750.55
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 $982.05 / $1,496.46 / $2,803.36	Professional		$982.05	$1,496.46	$2,803.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,535.68 / $1,943.90 / $2,286.90	Professional		$1,535.68	$1,943.90	$2,286.90