Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.42 / $1,123.46 / $1,191.23	Professional		$688.42	$1,123.46	$1,191.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,715.58 / $2,144.46	Professional		$1,368.00	$1,715.58	$2,144.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $701.77 / $1,118.86 / $3,143.46	Professional		$701.77	$1,118.86	$3,143.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,191.23 / $1,861.12 / $14,242.22	Facility		$1,191.23	$1,861.12	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $782.83 / $1,471.13 / $6,386.47	Professional		$782.83	$1,471.13	$6,386.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $1,861.12 / $8,494.06	Facility		$1,368.00	$1,861.12	$8,494.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,124.77 / $1,689.95 / $2,219.84	Professional		$1,124.77	$1,689.95	$2,219.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $725.40 / $1,355.71 / $9,889.25	Professional		$725.40	$1,355.71	$9,889.25
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 $747.24 / $1,172.05 / $2,120.75	Professional		$747.24	$1,172.05	$2,120.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,177.18 / $1,490.10 / $1,753.10	Professional		$1,177.18	$1,490.10	$1,753.10