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 $191.77 / $748.69 / $974.09	Professional		$191.77	$748.69	$974.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $1,328.22 / $1,800.69	Professional		$269.27	$1,328.22	$1,800.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $713.66 / $2,207.03	Professional		$115.36	$713.66	$2,207.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.33 / $1,328.22 / $2,969.00	Facility		$295.33	$1,328.22	$2,969.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.68 / $1,665.38 / $3,034.81	Professional		$332.68	$1,665.38	$3,034.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $304.70 / $1,303.00 / $2,066.12	Facility		$304.70	$1,303.00	$2,066.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $1,328.22 / $1,983.52	Professional		$269.27	$1,328.22	$1,983.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,173.30 / $1,819.50	Professional		$3.00	$1,173.30	$1,819.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.76 / $1,601.25 / $2,370.28	Professional		$873.76	$1,601.25	$2,370.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $258.10 / $1,272.90	Professional		$219.40	$258.10	$1,272.90