Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.14 / $5,549.00 / $17,229.34	Facility		$1,410.14	$5,549.00	$17,229.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $2,760.61 / $9,919.23	Professional		$473.92	$2,760.61	$9,919.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.11 / $9,585.04 / $15,869.29	Professional		$1,037.11	$9,585.04	$15,869.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.54 / $5,331.76 / $8,565.25	Professional		$498.54	$5,331.76	$8,565.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.72 / $9,068.08 / $18,346.22	Facility		$901.72	$9,068.08	$18,346.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,031.88 / $12,809.16 / $26,268.06	Professional		$6,031.88	$12,809.16	$26,268.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,037.11 / $6,616.19 / $15,599.88	Facility		$1,037.11	$6,616.19	$15,599.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,037.11 / $11,496.73 / $18,137.81	Professional		$1,037.11	$11,496.73	$18,137.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $466.27 / $5,309.46 / $9,665.28	Professional		$466.27	$5,309.46	$9,665.28
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $6,476.14 / $10,398.69 / $20,077.88	Professional		$6,476.14	$10,398.69	$20,077.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $914.50 / $1,075.90 / $12,095.90	Professional		$914.50	$1,075.90	$12,095.90