Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $1,137.65 / $1,194.96	Professional		$676.80	$1,137.65	$1,194.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.35 / $1,723.37 / $2,154.21	Professional		$1,186.35	$1,723.37	$2,154.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $704.16 / $1,083.76 / $2,307.94	Professional		$704.16	$1,083.76	$2,307.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.34 / $1,810.86 / $14,242.22	Facility		$747.34	$1,810.86	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.10 / $1,469.83 / $5,633.68	Professional		$779.10	$1,469.83	$5,633.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $958.00 / $1,867.69 / $8,793.02	Facility		$958.00	$1,867.69	$8,793.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $1,696.50 / $2,051.29	Professional		$934.00	$1,696.50	$2,051.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.45 / $1,388.68 / $9,803.48	Professional		$748.45	$1,388.68	$9,803.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $748.11 / $1,166.36 / $2,126.26	Professional		$748.11	$1,166.36	$2,126.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,181.76 / $1,495.90 / $1,759.90	Professional		$1,181.76	$1,495.90	$1,759.90