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 $736.07 / $1,318.89 / $1,318.89	Professional		$736.07	$1,318.89	$1,318.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.62 / $1,981.69 / $2,248.67	Professional		$1,731.62	$1,981.69	$2,248.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.88 / $1,244.32 / $2,054.06	Professional		$741.88	$1,244.32	$2,054.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,981.69 / $6,237.94	Facility		$1,285.00	$1,981.69	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $992.31 / $1,877.51 / $5,965.36	Professional		$992.31	$1,877.51	$5,965.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,289.16 / $1,731.62 / $2,313.31	Facility		$1,289.16	$1,731.62	$2,313.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,289.16 / $1,753.27 / $2,443.35	Professional		$1,289.16	$1,753.27	$2,443.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,361.60 / $1,990.00	Professional		$3.00	$1,361.60	$1,990.00
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 $892.83 / $1,451.81 / $2,527.32	Professional		$892.83	$1,451.81	$2,527.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,518.70 / $1,518.70 / $1,786.80	Professional		$1,518.70	$1,518.70	$1,786.80