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 $850.53 / $1,441.53 / $4,950.87	Professional		$850.53	$1,441.53	$4,950.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.84 / $2,071.63 / $2,589.53	Professional		$914.84	$2,071.63	$2,589.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.18 / $1,405.01 / $3,000.72	Professional		$891.18	$1,405.01	$3,000.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,172.78 / $2,054.91 / $8,223.00	Facility		$1,172.78	$2,054.91	$8,223.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,035.76 / $2,057.37 / $7,251.24	Professional		$1,035.76	$2,057.37	$7,251.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,422.17 / $2,117.16 / $2,813.24	Facility		$1,422.17	$2,117.16	$2,813.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,353.00 / $2,117.16 / $2,801.48	Professional		$1,353.00	$2,117.16	$2,801.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $961.54 / $1,716.35 / $3,453.73	Professional		$961.54	$1,716.35	$3,453.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.73 / $1,441.06 / $2,931.92	Professional		$990.73	$1,441.06	$2,931.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,474.85 / $1,866.90 / $2,196.30	Professional		$1,474.85	$1,866.90	$2,196.30