Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.29 / $1,203.59 / $1,203.59	Professional		$757.29	$1,203.59	$1,203.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.48 / $2,039.85 / $2,313.92	Professional		$1,761.48	$2,039.85	$2,313.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $1,317.76 / $2,219.48	Professional		$763.80	$1,317.76	$2,219.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,511.56 / $2,041.31 / $7,091.00	Facility		$1,511.56	$2,041.31	$7,091.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,037.78 / $1,933.27 / $7,254.95	Professional		$1,037.78	$1,933.27	$7,254.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,296.53 / $1,804.93 / $2,513.23	Facility		$1,296.53	$1,804.93	$2,513.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,296.53 / $1,804.93 / $2,513.23	Professional		$1,296.53	$1,804.93	$2,513.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,438.30 / $2,046.80	Professional		$6.00	$1,438.30	$2,046.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.70 / $1,696.47 / $2,600.56	Professional		$918.70	$1,696.47	$2,600.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,591.50 / $1,591.50 / $1,872.40	Professional		$1,591.50	$1,591.50	$1,872.40