Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.56 / $1,179.29 / $1,179.29	Professional		$742.56	$1,179.29	$1,179.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.63 / $1,994.32 / $2,261.34	Professional		$1,757.63	$1,994.32	$2,261.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.43 / $1,309.45 / $2,129.38	Professional		$741.43	$1,309.45	$2,129.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,483.76 / $2,102.94 / $6,572.72	Facility		$1,483.76	$2,102.94	$6,572.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.44 / $1,851.76 / $6,059.00	Professional		$979.44	$1,851.76	$6,059.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,208.47 / $1,797.59 / $2,382.73	Facility		$1,208.47	$1,797.59	$2,382.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,249.00 / $1,757.63 / $2,382.73	Professional		$1,249.00	$1,757.63	$2,382.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,379.40 / $2,026.10	Professional		$6.00	$1,379.40	$2,026.10
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 $879.97 / $1,346.72 / $2,490.92	Professional		$879.97	$1,346.72	$2,490.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,549.80 / $1,549.80 / $1,823.30	Professional		$1,549.80	$1,549.80	$1,823.30