Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.92 / $990.30 / $1,057.88	Professional		$613.92	$990.30	$1,057.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.70 / $1,528.59 / $1,910.74	Professional		$1,294.70	$1,528.59	$1,910.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $637.32 / $1,001.50 / $2,152.90	Professional		$637.32	$1,001.50	$2,152.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,057.88 / $1,761.39 / $7,896.02	Facility		$1,057.88	$1,761.39	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $704.52 / $1,366.18 / $5,932.82	Professional		$704.52	$1,366.18	$5,932.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,769.71 / $2,961.89	Facility		$1,285.00	$1,769.71	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $998.89 / $1,513.27 / $1,979.24	Professional		$998.89	$1,513.27	$1,979.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $649.87 / $1,191.49 / $3,259.56	Professional		$649.87	$1,191.49	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.59 / $1,108.83 / $2,009.08	Professional		$661.59	$1,108.83	$2,009.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,040.34 / $1,316.90 / $1,549.30	Professional		$1,040.34	$1,316.90	$1,549.30