Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.12 / $1,315.69 / $1,315.69	Professional		$734.12	$1,315.69	$1,315.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.44 / $1,977.32 / $2,238.94	Professional		$1,747.44	$1,977.32	$2,238.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.51 / $1,264.56 / $2,173.79	Professional		$740.51	$1,264.56	$2,173.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,383.26 / $2,225.30 / $12,656.46	Facility		$1,383.26	$2,225.30	$12,656.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.41 / $1,876.01 / $5,951.76	Professional		$1,016.41	$1,876.01	$5,951.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,378.00 / $2,436.05 / $4,818.76	Facility		$1,378.00	$2,436.05	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,747.44 / $2,436.05	Professional		$1,262.00	$1,747.44	$2,436.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,379.00 / $1,980.70	Professional		$3.00	$1,379.00	$1,980.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $892.52 / $1,524.17 / $2,526.44	Professional		$892.52	$1,524.17	$2,526.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.70 / $1,513.70 / $1,780.80	Professional		$1,513.70	$1,513.70	$1,780.80