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 $806.87 / $1,340.83 / $1,396.27	Professional		$806.87	$1,340.83	$1,396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.39 / $1,982.03 / $2,477.54	Professional		$1,720.39	$1,982.03	$2,477.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $836.28 / $1,441.59 / $2,850.62	Professional		$836.28	$1,441.59	$2,850.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,396.27 / $2,150.26 / $7,379.00	Facility		$1,396.27	$2,150.26	$7,379.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.67 / $1,823.08 / $6,643.43	Professional		$930.67	$1,823.08	$6,643.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,622.09 / $2,017.56 / $2,638.85	Facility		$1,622.09	$2,017.56	$2,638.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.21 / $1,970.15 / $2,638.85	Professional		$1,339.21	$1,970.15	$2,638.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $837.67 / $1,566.69 / $9,278.68	Professional		$837.67	$1,566.69	$9,278.68
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 $885.14 / $1,348.78 / $2,629.22	Professional		$885.14	$1,348.78	$2,629.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,372.39 / $1,737.20 / $2,043.80	Professional		$1,372.39	$1,737.20	$2,043.80