Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.03 / $1,079.48 / $1,140.38	Professional		$655.03	$1,079.48	$1,140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,287.19 / $1,653.25 / $2,066.56	Professional		$1,287.19	$1,653.25	$2,066.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.41 / $1,037.65 / $2,190.09	Professional		$669.41	$1,037.65	$2,190.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.18 / $1,623.17 / $4,873.45	Facility		$934.18	$1,623.17	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.63 / $1,405.07 / $5,378.24	Professional		$744.63	$1,405.07	$5,378.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,597.11 / $1,969.98	Facility		$1,257.44	$1,597.11	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,075.09 / $1,619.35 / $2,123.01	Professional		$1,075.09	$1,619.35	$2,123.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $710.53 / $1,315.74 / $1,729.73	Professional		$710.53	$1,315.74	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,101.36 / $4,199.85 / $7,155.00	Facility		$2,101.36	$4,199.85	$7,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.79 / $1,083.09 / $1,977.81	Professional		$710.79	$1,083.09	$1,977.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,128.04 / $1,427.90 / $1,679.90	Professional		$1,128.04	$1,427.90	$1,679.90