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 $893.34 / $1,616.76 / $1,671.11	Professional		$893.34	$1,616.76	$1,671.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.92 / $2,389.50 / $2,986.87	Professional		$1,662.92	$2,389.50	$2,986.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $913.15 / $1,364.00 / $3,303.67	Professional		$913.15	$1,364.00	$3,303.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.01 / $2,400.55 / $6,267.00	Facility		$852.01	$2,400.55	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $892.28 / $1,904.68 / $7,862.72	Professional		$892.28	$1,904.68	$7,862.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,259.76 / $2,417.30 / $3,161.63	Facility		$1,259.76	$2,417.30	$3,161.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,123.52 / $2,132.73 / $2,869.16	Professional		$1,123.52	$2,132.73	$2,869.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.23 / $1,930.19 / $4,680.42	Professional		$1,049.23	$1,930.19	$4,680.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.83 / $1,605.57 / $2,999.64	Professional		$944.83	$1,605.57	$2,999.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $2,085.69 / $2,453.80	Professional		$1,647.70	$2,085.69	$2,453.80