Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.78 / $1,110.83 / $4,237.93	Professional		$725.78	$1,110.83	$4,237.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.37 / $1,795.05 / $2,243.81	Professional		$802.37	$1,795.05	$2,243.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $772.52 / $1,218.58 / $2,979.88	Professional		$772.52	$1,218.58	$2,979.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.91 / $1,771.63 / $4,663.00	Facility		$1,039.91	$1,771.63	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $926.04 / $1,763.25 / $5,906.40	Professional		$926.04	$1,763.25	$5,906.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.11 / $1,835.51 / $2,548.69	Facility		$1,223.11	$1,835.51	$2,548.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.11 / $1,835.51 / $2,548.69	Professional		$1,223.11	$1,835.51	$2,548.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,505.90 / $2,063.90	Professional		$7.00	$1,505.90	$2,063.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $848.87 / $1,378.03 / $2,512.12	Professional		$848.87	$1,378.03	$2,512.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,278.61 / $1,618.50 / $1,904.10	Professional		$1,278.61	$1,618.50	$1,904.10