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 $772.78 / $1,231.59 / $1,747.51	Professional		$772.78	$1,231.59	$1,747.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.09 / $1,851.15 / $2,098.69	Professional		$1,636.09	$1,851.15	$2,098.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $692.41 / $1,182.75 / $2,070.98	Professional		$692.41	$1,182.75	$2,070.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,467.61 / $2,084.51 / $10,061.00	Facility		$1,467.61	$2,084.51	$10,061.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.35 / $1,757.40 / $5,588.00	Professional		$968.35	$1,757.40	$5,588.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,329.00 / $2,195.25 / $3,170.91	Facility		$1,329.00	$2,195.25	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,216.00 / $1,636.09 / $2,283.82	Professional		$1,216.00	$1,636.09	$2,283.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,294.59 / $1,859.70	Professional		$3.00	$1,294.59	$1,859.70
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 $835.21 / $1,426.94 / $2,364.23	Professional		$835.21	$1,426.94	$2,364.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,417.20 / $1,417.20 / $1,667.30	Professional		$1,417.20	$1,417.20	$1,667.30