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 $570.85 / $940.62 / $1,397.74	Professional		$570.85	$940.62	$1,397.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.65 / $1,456.14 / $1,820.17	Professional		$1,132.65	$1,456.14	$1,820.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $920.20 / $2,174.19	Professional		$583.52	$920.20	$2,174.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.88 / $1,560.14 / $8,957.00	Facility		$832.88	$1,560.14	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $650.17 / $1,230.73 / $4,710.96	Professional		$650.17	$1,230.73	$4,710.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,173.35 / $1,562.14 / $2,961.89	Facility		$1,173.35	$1,562.14	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $942.74 / $1,411.92 / $1,858.12	Professional		$942.74	$1,411.92	$1,858.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.52 / $1,108.68 / $3,259.56	Professional		$600.52	$1,108.68	$3,259.56
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 $620.62 / $945.71 / $1,727.96	Professional		$620.62	$945.71	$1,727.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $983.55 / $1,245.00 / $1,464.70	Professional		$983.55	$1,245.00	$1,464.70