Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $2,161.39 / $3,499.25	Professional		$306.02	$2,161.39	$3,499.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $3,886.07 / $6,453.87	Professional		$443.31	$3,886.07	$6,453.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $2,540.67 / $4,499.03	Professional		$194.78	$2,540.67	$4,499.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.25 / $4,089.97 / $8,847.00	Facility		$459.25	$4,089.97	$8,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $5,485.19 / $16,664.48	Professional		$559.66	$5,485.19	$16,664.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $471.58 / $3,770.13 / $6,399.88	Facility		$471.58	$3,770.13	$6,399.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.25 / $3,678.72 / $6,399.88	Professional		$459.25	$3,678.72	$6,399.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4,192.30 / $6,776.90	Professional		$3.00	$4,192.30	$6,776.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,665.19 / $5,228.85 / $8,262.86	Professional		$2,665.19	$5,228.85	$8,262.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $374.10 / $440.10 / $4,562.30	Professional		$374.10	$440.10	$4,562.30