Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.65 / $969.67 / $3,507.56	Professional		$614.65	$969.67	$3,507.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.91 / $1,528.59 / $1,910.74	Professional		$608.91	$1,528.59	$1,910.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.38 / $900.36 / $2,036.15	Professional		$596.38	$900.36	$2,036.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.59 / $1,493.29 / $11,495.00	Facility		$711.59	$1,493.29	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.28 / $1,440.77 / $4,939.28	Professional		$716.28	$1,440.77	$4,939.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $1,707.20 / $6,780.09	Facility		$1,153.00	$1,707.20	$6,780.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,016.99 / $1,457.06 / $1,982.72	Professional		$1,016.99	$1,457.06	$1,982.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,237.90 / $1,767.80	Professional		$5.00	$1,237.90	$1,767.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,133.00 / $8,420.00 / $11,869.99	Facility		$4,133.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $685.14 / $1,098.75 / $2,027.56	Professional		$685.14	$1,098.75	$2,027.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,014.99 / $1,284.80 / $1,511.50	Professional		$1,014.99	$1,284.80	$1,511.50