Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.19 / $6,425.14 / $10,298.00	Facility		$1,586.19	$6,425.14	$10,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.04 / $1,045.07 / $2,059.01	Professional		$619.04	$1,045.07	$2,059.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.99 / $1,615.66 / $2,105.52	Professional		$1,214.99	$1,615.66	$2,105.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.58 / $1,060.65 / $2,467.41	Professional		$529.58	$1,060.65	$2,467.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,255.46 / $1,834.12 / $9,399.00	Facility		$1,255.46	$1,834.12	$9,399.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.08 / $1,701.36 / $7,060.12	Professional		$1,059.08	$1,701.36	$7,060.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,214.99 / $1,743.63 / $3,170.91	Facility		$1,214.99	$1,743.63	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,109.88 / $1,492.60 / $1,976.83	Professional		$1,109.88	$1,492.60	$1,976.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,681.06 / $3,681.06 / $3,681.06	Facility		$3,681.06	$3,681.06	$3,681.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,280.30 / $1,917.00	Professional		$5.00	$1,280.30	$1,917.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $811.97 / $1,484.72 / $2,298.44	Professional		$811.97	$1,484.72	$2,298.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,302.40 / $1,673.10	Professional		$1,107.00	$1,302.40	$1,673.10