Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,911.00 / $9,185.68	Facility		$4,146.00	$4,911.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.25 / $1,210.31 / $1,210.31	Professional		$867.25	$1,210.31	$1,210.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $1,951.82 / $2,211.02	Professional		$1,728.82	$1,951.82	$2,211.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $1,246.19 / $2,142.79	Professional		$755.59	$1,246.19	$2,142.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,280.83 / $2,071.73 / $7,393.10	Facility		$1,280.83	$2,071.73	$7,393.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $925.19 / $1,818.53 / $5,892.48	Professional		$925.19	$1,818.53	$5,892.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,177.14 / $1,796.94 / $2,313.48	Facility		$1,177.14	$1,796.94	$2,313.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,177.14 / $1,796.94 / $2,313.48	Professional		$1,177.14	$1,796.94	$2,313.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,431.10 / $2,055.90	Professional		$6.00	$1,431.10	$2,055.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.18 / $1,321.93 / $2,446.23	Professional		$864.18	$1,321.93	$2,446.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,556.60 / $1,556.60 / $1,831.30	Professional		$1,556.60	$1,556.60	$1,831.30