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 $737.98 / $1,239.82 / $1,297.51	Professional		$737.98	$1,239.82	$1,297.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.59 / $1,858.93 / $2,323.67	Professional		$1,453.59	$1,858.93	$2,323.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $764.38 / $1,177.11 / $2,510.53	Professional		$764.38	$1,177.11	$2,510.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,297.51 / $2,023.26 / $20,063.05	Facility		$1,297.51	$2,023.26	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $855.66 / $1,619.44 / $6,102.08	Professional		$855.66	$1,619.44	$6,102.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $2,023.26 / $12,675.86	Facility		$1,423.00	$2,023.26	$12,675.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,237.09 / $1,836.23 / $2,437.44	Professional		$1,237.09	$1,836.23	$2,437.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $786.49 / $1,472.32 / $13,669.06	Professional		$786.49	$1,472.32	$13,669.06
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 $816.76 / $1,244.58 / $2,318.05	Professional		$816.76	$1,244.58	$2,318.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,279.08 / $1,619.10 / $1,904.90	Professional		$1,279.08	$1,619.10	$1,904.90