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 $742.69 / $1,225.24 / $1,308.04	Professional		$742.69	$1,225.24	$1,308.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.73 / $1,885.42 / $2,356.78	Professional		$1,471.73	$1,885.42	$2,356.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $768.48 / $1,221.63 / $2,654.86	Professional		$768.48	$1,221.63	$2,654.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,241.44 / $2,014.38 / $20,063.05	Facility		$1,241.44	$2,014.38	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $859.20 / $1,686.22 / $6,554.88	Professional		$859.20	$1,686.22	$6,554.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,430.00 / $2,028.82 / $19,541.55	Facility		$1,430.00	$2,028.82	$19,541.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,235.69 / $1,848.60 / $2,442.02	Professional		$1,235.69	$1,848.60	$2,442.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.08 / $1,474.61 / $22,186.36	Professional		$807.08	$1,474.61	$22,186.36
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 $832.00 / $1,274.38 / $2,542.67	Professional		$832.00	$1,274.38	$2,542.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,287.70 / $1,630.00 / $1,917.70	Professional		$1,287.70	$1,630.00	$1,917.70