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 $757.21 / $1,219.17 / $1,369.32	Professional		$757.21	$1,219.17	$1,369.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.36 / $1,962.55 / $2,453.19	Professional		$1,519.36	$1,962.55	$2,453.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $778.27 / $1,235.15 / $2,742.25	Professional		$778.27	$1,235.15	$2,742.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.20 / $2,108.75 / $11,139.12	Facility		$1,257.20	$2,108.75	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.74 / $1,640.56 / $6,392.96	Professional		$861.74	$1,640.56	$6,392.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,505.00 / $2,118.33 / $9,065.95	Facility		$1,505.00	$2,118.33	$9,065.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,212.21 / $1,831.39 / $2,383.79	Professional		$1,212.21	$1,831.39	$2,383.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $1,540.64 / $10,114.44	Professional		$833.40	$1,540.64	$10,114.44
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 $821.47 / $1,253.44 / $2,334.53	Professional		$821.47	$1,253.44	$2,334.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,323.25 / $1,675.00 / $1,970.60	Professional		$1,323.25	$1,675.00	$1,970.60