Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,235.94 / $6,760.83	Facility		$1,000.00	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,621.81	Professional		$575.44	$660.69	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,862.09	Professional		$1,174.90	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $2,290.87	Professional		$602.56	$891.25	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $17,378.01	Facility		$1,000.00	$1,698.24	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $5,370.32	Professional		$645.65	$1,258.93	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $1,737.80	Professional		$1,380.38	$1,584.89	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,737.80	Professional		$1,230.27	$1,230.27	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,445.44	Professional		$616.60	$1,096.48	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,737.80	Professional		$616.60	$954.99	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,479.11	Professional		$1,000.00	$1,258.93	$1,479.11