Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.14 / $1,350.00 / $1,350.00	Professional		$849.14	$1,350.00	$1,350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.57 / $2,287.13 / $2,590.51	Professional		$1,985.57	$2,287.13	$2,590.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $856.78 / $1,422.35 / $2,489.09	Professional		$856.78	$1,422.35	$2,489.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.30 / $2,171.88 / $6,306.00	Facility		$1,433.30	$2,171.88	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.84 / $2,163.96 / $7,127.82	Professional		$1,163.84	$2,163.96	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,440.10 / $2,021.83 / $2,819.81	Facility		$1,440.10	$2,021.83	$2,819.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,449.00 / $2,021.83 / $2,819.81	Professional		$1,449.00	$2,021.83	$2,819.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,597.60 / $2,292.40	Professional		$7.00	$1,597.60	$2,292.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.04 / $1,842.05 / $2,910.89	Professional		$1,073.04	$1,842.05	$2,910.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,782.80 / $1,782.80 / $2,097.40	Professional		$1,782.80	$1,782.80	$2,097.40