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 $624.54 / $1,118.19 / $1,118.19	Professional		$624.54	$1,118.19	$1,118.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.70 / $1,685.51 / $1,921.46	Professional		$1,297.70	$1,685.51	$1,921.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.16 / $1,018.99 / $2,705.92	Professional		$683.16	$1,018.99	$2,705.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.43 / $1,889.74 / $8,857.49	Facility		$845.43	$1,889.74	$8,857.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $835.94 / $1,580.45 / $2,740.17	Professional		$835.94	$1,580.45	$2,740.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,265.84 / $2,064.79 / $3,170.91	Facility		$1,265.84	$2,064.79	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,169.08 / $1,492.72 / $2,070.02	Professional		$1,169.08	$1,492.72	$2,070.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $1,693.30	Professional		$3.00	$3.00	$1,693.30
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 $783.70 / $1,232.70 / $2,125.96	Professional		$783.70	$1,232.70	$2,125.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,293.00 / $1,521.20	Professional		$1,293.00	$1,293.00	$1,521.20