Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,248.07 / $7,943.28	Facility		$1,000.00	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $2,041.74	Professional		$741.31	$851.14	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,818.38	Professional		$812.83	$1,380.38	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $7,413.10	Facility		$1,412.54	$2,570.40	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $7,079.46	Professional		$933.25	$1,621.81	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,818.38	Professional		$1,778.28	$1,862.09	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,238.72	Professional		$1,584.89	$2,187.76	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,584.89 / $2,089.30	Professional		$6.03	$1,584.89	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $10,232.93	Facility		$3,388.44	$6,309.57	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,454.71	Professional		$870.96	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70