Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.58 / $1,002.91 / $3,794.51	Professional		$612.58	$1,002.91	$3,794.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.76 / $1,594.82 / $1,993.52	Professional		$699.76	$1,594.82	$1,993.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.83 / $1,084.51 / $2,334.98	Professional		$682.83	$1,084.51	$2,334.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.30 / $1,625.18 / $7,915.44	Facility		$944.30	$1,625.18	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $821.15 / $1,572.74 / $5,341.28	Professional		$821.15	$1,572.74	$5,341.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $1,843.79 / $3,162.53	Facility		$1,157.00	$1,843.79	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,025.60 / $1,625.18 / $2,134.67	Professional		$1,025.60	$1,625.18	$2,134.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $736.21 / $1,377.45 / $3,472.60	Professional		$736.21	$1,377.45	$3,472.60
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 $758.42 / $1,288.65 / $2,243.29	Professional		$758.42	$1,288.65	$2,243.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,132.07 / $1,433.00 / $1,685.90	Professional		$1,132.07	$1,433.00	$1,685.90