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 $660.37 / $1,045.56 / $1,045.56	Professional		$660.37	$1,045.56	$1,045.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.49 / $1,743.04 / $2,013.97	Professional		$1,517.49	$1,743.04	$2,013.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $635.30 / $1,056.59 / $1,803.37	Professional		$635.30	$1,056.59	$1,803.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.83 / $1,559.66 / $5,244.00	Facility		$786.83	$1,559.66	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $817.14 / $1,632.00 / $5,256.40	Professional		$817.14	$1,632.00	$5,256.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,113.73 / $1,542.94 / $2,156.19	Facility		$1,113.73	$1,542.94	$2,156.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,069.00 / $1,542.94 / $2,156.19	Professional		$1,069.00	$1,542.94	$2,156.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,360.80 / $1,869.50	Professional		$6.00	$1,360.80	$1,869.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.54 / $1,431.30 / $2,195.31	Professional		$775.54	$1,431.30	$2,195.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,306.50 / $1,306.50 / $1,537.00	Professional		$1,306.50	$1,306.50	$1,537.00