Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.99 / $1,153.29 / $1,330.32	Professional		$740.99	$1,153.29	$1,330.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.21 / $1,830.11 / $2,287.63	Professional		$1,493.21	$1,830.11	$2,287.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.53 / $1,205.84 / $2,417.73	Professional		$755.53	$1,205.84	$2,417.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.09 / $1,983.63 / $11,869.99	Facility		$1,068.09	$1,983.63	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.84 / $1,590.50 / $6,025.28	Professional		$847.84	$1,590.50	$6,025.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,475.00 / $1,997.94 / $5,874.92	Facility		$1,475.00	$1,997.94	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,811.48 / $2,410.59	Professional		$1,215.71	$1,811.48	$2,410.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $803.90 / $1,479.16 / $6,132.86	Professional		$803.90	$1,479.16	$6,132.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $10,061.00 / $16,446.66	Facility		$7,221.00	$10,061.00	$16,446.66
United Facility/Professional Professional Modifier Low / Median / High Price $832.45 / $1,233.22 / $2,509.06	Professional		$832.45	$1,233.22	$2,509.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,261.86 / $1,597.30 / $1,879.20	Professional		$1,261.86	$1,597.30	$1,879.20