Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.74 / $1,043.60 / $1,230.09	Professional		$671.74	$1,043.60	$1,230.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.37 / $1,692.98 / $2,116.23	Professional		$1,376.37	$1,692.98	$2,116.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.09 / $1,095.59 / $2,140.83	Professional		$691.09	$1,095.59	$2,140.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $990.45 / $1,817.52 / $11,869.99	Facility		$990.45	$1,817.52	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $772.92 / $1,467.39 / $5,536.08	Professional		$772.92	$1,467.39	$5,536.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,355.00 / $1,836.51 / $5,874.92	Facility		$1,355.00	$1,836.51	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,127.49 / $1,657.19 / $2,212.05	Professional		$1,127.49	$1,657.19	$2,212.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $701.39 / $1,303.76 / $6,132.86	Professional		$701.39	$1,303.76	$6,132.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $737.78 / $1,061.97 / $2,107.94	Professional		$737.78	$1,061.97	$2,107.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,154.43 / $1,461.30 / $1,719.10	Professional		$1,154.43	$1,461.30	$1,719.10