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 $826.81 / $987.56 / $1,456.50	Professional		$826.81	$987.56	$1,456.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $2,085.65 / $2,607.06	Professional		$1,632.00	$2,085.65	$2,607.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $822.08 / $1,303.41 / $2,792.56	Professional		$822.08	$1,303.41	$2,792.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,441.77 / $2,249.71 / $11,139.12	Facility		$1,441.77	$2,249.71	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $925.56 / $1,769.18 / $6,790.16	Professional		$925.56	$1,769.18	$6,790.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,632.00 / $2,249.71 / $7,822.78	Facility		$1,632.00	$2,249.71	$7,822.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,278.70 / $1,975.50 / $2,571.34	Professional		$1,278.70	$1,975.50	$2,571.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $885.82 / $1,599.70 / $8,873.21	Professional		$885.82	$1,599.70	$8,873.21
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 $883.49 / $1,346.27 / $2,507.42	Professional		$883.49	$1,346.27	$2,507.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,401.30 / $1,773.80 / $2,086.80	Professional		$1,401.30	$1,773.80	$2,086.80