Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.34 / $1,163.45 / $1,239.35	Professional		$716.34	$1,163.45	$1,239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $1,781.02 / $2,226.28	Professional		$1,423.00	$1,781.02	$2,226.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $728.60 / $1,161.32 / $2,379.44	Professional		$728.60	$1,161.32	$2,379.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,167.14 / $1,934.84 / $12,342.67	Facility		$1,167.14	$1,934.84	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.81 / $1,588.20 / $5,864.72	Professional		$812.81	$1,588.20	$5,864.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $1,934.84 / $9,429.12	Facility		$1,423.00	$1,934.84	$9,429.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,157.85 / $1,753.99 / $2,303.67	Professional		$1,157.85	$1,753.99	$2,303.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $774.21 / $1,436.37 / $10,528.23	Professional		$774.21	$1,436.37	$10,528.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $775.87 / $1,182.27 / $2,405.41	Professional		$775.87	$1,182.27	$2,405.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,221.81 / $1,546.60 / $1,819.60	Professional		$1,221.81	$1,546.60	$1,819.60