Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.41 / $1,194.46 / $1,256.71	Professional		$715.41	$1,194.46	$1,256.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.07 / $1,802.84 / $2,253.55	Professional		$1,409.07	$1,802.84	$2,253.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.36 / $1,180.92 / $2,432.40	Professional		$740.36	$1,180.92	$2,432.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,256.71 / $1,960.92 / $20,063.05	Facility		$1,256.71	$1,960.92	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $828.36 / $1,563.68 / $5,914.16	Professional		$828.36	$1,563.68	$5,914.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,466.56 / $2,117.31 / $16,471.98	Facility		$1,466.56	$2,117.31	$16,471.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,195.22 / $1,779.46 / $2,338.60	Professional		$1,195.22	$1,779.46	$2,338.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $762.52 / $1,427.05 / $18,053.91	Professional		$762.52	$1,427.05	$18,053.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $790.70 / $1,204.88 / $2,244.09	Professional		$790.70	$1,204.88	$2,244.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,239.58 / $1,569.10 / $1,846.00	Professional		$1,239.58	$1,569.10	$1,846.00