Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.83 / $1,440.28 / $1,440.28	Professional		$892.83	$1,440.28	$1,440.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.40 / $2,161.67 / $2,445.40	Professional		$1,903.40	$2,161.67	$2,445.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $809.62 / $1,365.86 / $2,376.29	Professional		$809.62	$1,365.86	$2,376.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,186.29 / $2,316.71 / $11,402.22	Facility		$1,186.29	$2,316.71	$11,402.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,111.09 / $2,053.28 / $6,506.48	Professional		$1,111.09	$2,053.28	$6,506.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.00 / $2,666.53 / $4,818.76	Facility		$1,513.00	$2,666.53	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,365.43 / $1,909.73 / $2,666.53	Professional		$1,365.43	$1,909.73	$2,666.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,508.00 / $2,167.19	Professional		$6.00	$1,508.00	$2,167.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,898.00 / $7,366.40 / $13,055.54	Facility		$4,898.00	$7,366.40	$13,055.54
United Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,749.17 / $2,764.11	Professional		$976.48	$1,749.17	$2,764.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,654.30 / $1,654.30 / $1,946.20	Professional		$1,654.30	$1,654.30	$1,946.20