Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.38 / $1,176.22 / $1,176.22	Professional		$742.38	$1,176.22	$1,176.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.66 / $1,899.21 / $2,158.19	Professional		$1,543.66	$1,899.21	$2,158.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $633.83 / $1,101.32 / $1,840.91	Professional		$633.83	$1,101.32	$1,840.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,093.99 / $2,091.67 / $8,328.70	Facility		$1,093.99	$2,091.67	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $893.21 / $1,768.40 / $5,291.28	Professional		$893.21	$1,768.40	$5,291.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,091.67 / $2,571.84	Facility		$1,261.00	$2,091.67	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,157.75 / $1,558.91 / $2,312.96	Professional		$1,157.75	$1,558.91	$2,312.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,401.70 / $2,083.69	Professional		$5.00	$1,401.70	$2,083.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $1,555.74 / $2,386.17	Professional		$842.96	$1,555.74	$2,386.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,307.09 / $1,307.09 / $1,537.70	Professional		$1,307.09	$1,307.09	$1,537.70