Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.54 / $1,284.57 / $1,787.86	Professional		$842.54	$1,284.57	$1,787.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $2,081.76 / $2,602.19	Professional		$840.30	$2,081.76	$2,602.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.64 / $1,345.74 / $4,879.83	Professional		$819.64	$1,345.74	$4,879.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.56 / $2,105.14 / $11,732.00	Facility		$1,233.56	$2,105.14	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.98 / $1,992.71 / $9,218.11	Professional		$1,003.98	$1,992.71	$9,218.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.00 / $2,371.19 / $5,383.60	Facility		$1,647.00	$2,371.19	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,321.00 / $1,992.71 / $2,655.71	Professional		$1,321.00	$1,992.71	$2,655.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,684.20 / $2,374.19	Professional		$6.00	$1,684.20	$2,374.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.59 / $1,424.28 / $2,727.32	Professional		$921.59	$1,424.28	$2,727.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,388.11 / $1,757.10 / $2,067.19	Professional		$1,388.11	$1,757.10	$2,067.19