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 $621.20 / $1,091.08 / $1,091.08	Professional		$621.20	$1,091.08	$1,091.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.59 / $1,648.68 / $1,889.32	Professional		$1,455.59	$1,648.68	$1,889.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.09 / $1,045.58 / $1,873.52	Professional		$602.09	$1,045.58	$1,873.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $986.07 / $1,680.28 / $5,023.00	Facility		$986.07	$1,680.28	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.56 / $1,532.47 / $4,970.72	Professional		$810.56	$1,532.47	$4,970.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,052.45 / $1,300.32 / $1,807.49	Facility		$1,052.45	$1,300.32	$1,807.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,052.45 / $1,455.59 / $2,017.14	Professional		$1,052.45	$1,455.59	$2,017.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,283.00 / $1,740.80	Professional		$5.00	$1,283.00	$1,740.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.24 / $1,378.06 / $2,061.42	Professional		$728.24	$1,378.06	$2,061.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,260.90 / $1,260.90 / $1,483.40	Professional		$1,260.90	$1,260.90	$1,483.40