Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $6,760.83	Facility		$1,000.00	$3,467.37	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $3,311.31	Professional		$616.60	$1,000.00	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,290.87	Professional		$1,513.56	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,862.09	Professional		$602.56	$1,023.29	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $5,495.41	Facility		$954.99	$1,862.09	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $2,290.87	Professional		$831.76	$1,513.56	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,041.74	Professional		$1,479.11	$1,698.24	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,621.81	Professional		$588.84	$1,071.52	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,905.46	Professional		$691.83	$1,023.29	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81