Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $4,604.83 / $8,042.03	Facility		$3,421.00	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.26 / $1,326.65 / $3,994.00	Professional		$816.26	$1,326.65	$3,994.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.48 / $1,903.40 / $2,330.48	Professional		$1,541.48	$1,903.40	$2,330.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $841.03 / $1,417.15 / $2,567.27	Professional		$841.03	$1,417.15	$2,567.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,427.15 / $2,013.69 / $8,165.52	Facility		$1,427.15	$2,013.69	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $988.92 / $1,745.20 / $6,442.48	Professional		$988.92	$1,745.20	$6,442.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,304.63 / $1,745.20 / $2,031.82	Facility		$1,304.63	$1,745.20	$2,031.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,307.71 / $1,745.20 / $2,432.48	Professional		$1,307.71	$1,745.20	$2,432.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,631.60 / $2,226.80	Professional		$5.00	$1,631.60	$2,226.80
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 $974.23 / $1,681.87 / $2,778.63	Professional		$974.23	$1,681.87	$2,778.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,132.50 / $1,132.50 / $1,332.30	Professional		$1,132.50	$1,132.50	$1,332.30