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 $741.08 / $1,153.29 / $1,360.04	Professional		$741.08	$1,153.29	$1,360.04
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 / $2,721.55	Professional		$755.53	$1,205.84	$2,721.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,107.51 / $1,984.98 / $11,869.99	Facility		$1,107.51	$1,984.98	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.84 / $1,591.63 / $6,025.28	Professional		$847.84	$1,591.63	$6,025.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,465.00 / $1,997.94 / $5,874.92	Facility		$1,465.00	$1,997.94	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,248.49 / $1,811.48 / $2,411.30	Professional		$1,248.49	$1,811.48	$2,411.30
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 / $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 $809.30 / $1,233.22 / $2,264.96	Professional		$809.30	$1,233.22	$2,264.96
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