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 $723.97 / $1,297.30 / $1,297.30	Professional		$723.97	$1,297.30	$1,297.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.43 / $1,949.18 / $2,208.75	Professional		$1,723.43	$1,949.18	$2,208.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $729.60 / $1,237.55 / $2,149.67	Professional		$729.60	$1,237.55	$2,149.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,087.33 / $8,586.74	Facility		$1,089.00	$2,087.33	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,005.14 / $1,846.71 / $5,867.44	Professional		$1,005.14	$1,846.71	$5,867.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $2,195.25 / $3,170.91	Facility		$1,384.00	$2,195.25	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,245.93 / $1,723.43 / $2,404.79	Professional		$1,245.93	$1,723.43	$2,404.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,358.30 / $1,957.50	Professional		$3.00	$1,358.30	$1,957.50
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 $878.30 / $1,761.11 / $2,486.19	Professional		$878.30	$1,761.11	$2,486.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,492.90 / $1,492.90 / $1,756.30	Professional		$1,492.90	$1,492.90	$1,756.30