Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.10 / $774.02 / $1,160.74	Professional		$670.10	$774.02	$1,160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.00 / $1,667.27 / $2,084.09	Professional		$1,349.00	$1,667.27	$2,084.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $1,089.80 / $2,435.05	Professional		$683.39	$1,089.80	$2,435.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,046.73 / $1,810.86 / $11,139.12	Facility		$1,046.73	$1,810.86	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.35 / $1,457.30 / $5,464.88	Professional		$763.35	$1,457.30	$5,464.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $1,811.87 / $6,616.19	Facility		$1,349.00	$1,811.87	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,099.02 / $1,644.10 / $2,173.55	Professional		$1,099.02	$1,644.10	$2,173.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $1,318.67 / $7,323.26	Professional		$726.53	$1,318.67	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.65 / $1,143.49 / $2,067.96	Professional		$728.65	$1,143.49	$2,067.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,145.26 / $1,449.70 / $1,705.50	Professional		$1,145.26	$1,449.70	$1,705.50