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 $751.37 / $1,180.60 / $1,667.00	Professional		$751.37	$1,180.60	$1,667.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.13 / $1,774.58 / $2,013.97	Professional		$1,569.13	$1,774.58	$2,013.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $1,134.21 / $1,920.98	Professional		$663.60	$1,134.21	$1,920.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,299.71 / $1,985.11 / $12,656.46	Facility		$1,299.71	$1,985.11	$12,656.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.94 / $1,677.21 / $6,877.00	Professional		$887.94	$1,677.21	$6,877.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $2,186.81 / $4,818.76	Facility		$1,261.00	$2,186.81	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,154.00 / $1,569.13 / $2,186.81	Professional		$1,154.00	$1,569.13	$2,186.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,235.90 / $1,782.30	Professional		$3.00	$1,235.90	$1,782.30
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 $832.44 / $1,290.20 / $2,258.19	Professional		$832.44	$1,290.20	$2,258.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,359.20 / $1,359.20 / $1,599.10	Professional		$1,359.20	$1,359.20	$1,599.10