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 $753.73 / $917.99 / $1,401.94	Professional		$753.73	$917.99	$1,401.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.14 / $1,835.56 / $2,294.44	Professional		$811.14	$1,835.56	$2,294.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $790.30 / $1,246.21 / $3,074.39	Professional		$790.30	$1,246.21	$3,074.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.95 / $1,738.22 / $4,473.55	Facility		$1,012.95	$1,738.22	$4,473.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.79 / $1,806.51 / $6,168.56	Professional		$906.79	$1,806.51	$6,168.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,251.42 / $1,877.00 / $2,462.39	Facility		$1,251.42	$1,877.00	$2,462.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,211.00 / $1,877.00 / $2,457.89	Professional		$1,211.00	$1,877.00	$2,457.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,487.70 / $2,152.50	Professional		$7.00	$1,487.70	$2,152.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.36 / $1,261.61 / $2,566.84	Professional		$867.36	$1,261.61	$2,566.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,307.53 / $1,655.10 / $1,947.10	Professional		$1,307.53	$1,655.10	$1,947.10