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 $932.10 / $932.10 / $1,010.12	Professional		$932.10	$932.10	$1,010.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.53 / $2,462.34 / $2,761.91	Professional		$2,209.53	$2,462.34	$2,761.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $950.49 / $1,538.36 / $2,875.85	Professional		$950.49	$1,538.36	$2,875.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,427.15 / $2,759.88 / $14,479.00	Facility		$1,427.15	$2,759.88	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.56 / $2,330.12 / $7,428.48	Professional		$1,157.56	$2,330.12	$7,428.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,645.00 / $2,982.53 / $5,275.65	Facility		$1,645.00	$2,982.53	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,516.73 / $2,258.35 / $2,982.53	Professional		$1,516.73	$2,258.35	$2,982.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,798.20 / $2,598.30	Professional		$6.00	$1,798.20	$2,598.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.29 / $1,765.70 / $3,134.40	Professional		$1,107.29	$1,765.70	$3,134.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,956.30 / $1,956.30 / $2,301.50	Professional		$1,956.30	$1,956.30	$2,301.50