Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.44 / $1,374.53 / $1,374.53	Professional		$782.44	$1,374.53	$1,374.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,829.68 / $2,074.56 / $2,374.31	Professional		$1,829.68	$2,074.56	$2,374.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $1,313.94 / $2,276.91	Professional		$757.21	$1,313.94	$2,276.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.58 / $2,252.11 / $9,747.12	Facility		$1,193.58	$2,252.11	$9,747.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,007.26 / $1,928.26 / $6,254.56	Professional		$1,007.26	$1,928.26	$6,254.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $2,176.17 / $2,619.60	Facility		$1,419.00	$2,176.17	$2,619.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,308.09 / $1,829.68 / $2,538.88	Professional		$1,308.09	$1,829.68	$2,538.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,612.90 / $2,193.10	Professional		$5.00	$1,612.90	$2,193.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $916.32 / $1,641.41 / $2,593.82	Professional		$916.32	$1,641.41	$2,593.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.90 / $1,584.90 / $1,864.60	Professional		$1,584.90	$1,584.90	$1,864.60