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 $632.71 / $1,133.64 / $1,133.64	Professional		$632.71	$1,133.64	$1,133.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.35 / $1,703.96 / $1,933.14	Professional		$1,496.35	$1,703.96	$1,933.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.07 / $1,069.02 / $1,849.49	Professional		$637.07	$1,069.02	$1,849.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,151.40 / $1,813.25 / $6,156.84	Facility		$1,151.40	$1,813.25	$6,156.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $1,610.34 / $5,129.60	Professional		$864.78	$1,610.34	$5,129.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,545.41 / $2,098.19	Facility		$1,170.00	$1,545.41	$2,098.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,106.38 / $1,506.53 / $2,098.19	Professional		$1,106.38	$1,506.53	$2,098.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,187.00 / $1,710.50	Professional		$6.00	$1,187.00	$1,710.50
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 $765.88 / $1,124.63 / $2,167.96	Professional		$765.88	$1,124.63	$2,167.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,535.30	Professional		$1,305.00	$1,305.00	$1,535.30