Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $1,367.30 / $1,367.30	Professional		$779.26	$1,367.30	$1,367.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.58 / $2,063.71 / $2,370.41	Professional		$1,816.58	$2,063.71	$2,370.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $748.23 / $1,282.91 / $2,176.83	Professional		$748.23	$1,282.91	$2,176.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,151.32 / $2,209.00 / $8,328.70	Facility		$1,151.32	$2,209.00	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.23 / $1,889.32 / $6,223.36	Professional		$967.23	$1,889.32	$6,223.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $2,176.17 / $2,612.31	Facility		$1,362.00	$2,176.17	$2,612.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.00 / $1,816.58 / $2,467.54	Professional		$1,258.00	$1,816.58	$2,467.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,564.50 / $2,199.69	Professional		$5.00	$1,564.50	$2,199.69
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 $880.79 / $1,684.80 / $2,541.44	Professional		$880.79	$1,684.80	$2,541.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,573.60 / $1,573.60 / $1,851.30	Professional		$1,573.60	$1,573.60	$1,851.30