Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $1,029.10 / $1,029.10	Professional		$650.78	$1,029.10	$1,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.01 / $1,716.34 / $1,982.81	Professional		$1,393.01	$1,716.34	$1,982.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $970.59 / $1,648.62	Professional		$619.54	$970.59	$1,648.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.10 / $1,767.04 / $14,396.24	Facility		$1,029.10	$1,767.04	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $754.81 / $1,522.20 / $6,630.84	Professional		$754.81	$1,522.20	$6,630.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,037.00 / $1,946.58 / $5,383.60	Facility		$1,037.00	$1,946.58	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,488.30 / $1,946.58	Professional		$949.00	$1,488.30	$1,946.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,202.09 / $1,853.10	Professional		$5.00	$1,202.09	$1,853.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $720.73 / $1,295.76 / $2,047.62	Professional		$720.73	$1,295.76	$2,047.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,280.59 / $1,280.59 / $1,506.60	Professional		$1,280.59	$1,280.59	$1,506.60