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 $586.33 / $963.36 / $1,020.98	Professional		$586.33	$963.36	$1,020.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.00 / $1,475.62 / $1,844.52	Professional		$1,178.00	$1,475.62	$1,844.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.48 / $1,014.69 / $2,194.06	Professional		$600.48	$1,014.69	$2,194.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.98 / $1,595.82 / $7,896.02	Facility		$1,020.98	$1,595.82	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.02 / $1,273.36 / $6,052.96	Professional		$668.02	$1,273.36	$6,052.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,194.99 / $1,595.82 / $2,961.89	Facility		$1,194.99	$1,595.82	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,449.05 / $1,900.66	Professional		$961.15	$1,449.05	$1,900.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $1,181.86 / $3,259.56	Professional		$637.66	$1,181.86	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,840.79 / $9,751.77	Facility		$4,180.89	$6,840.79	$9,751.77
United Facility/Professional Professional Modifier Low / Median / High Price $637.65 / $971.66 / $1,809.72	Professional		$637.65	$971.66	$1,809.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,009.38 / $1,277.70 / $1,503.20	Professional		$1,009.38	$1,277.70	$1,503.20