Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $1,557.95 / $4,179.58	Professional		$155.49	$1,557.95	$4,179.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $3,392.98 / $4,861.68	Professional		$320.20	$3,392.98	$4,861.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $1,804.01 / $5,559.97	Professional		$132.68	$1,804.01	$5,559.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.46 / $4,403.68 / $10,030.96	Facility		$353.46	$4,403.68	$10,030.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.87 / $4,403.68 / $18,756.31	Professional		$378.87	$4,403.68	$18,756.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.10 / $2,834.84 / $5,312.25	Facility		$331.10	$2,834.84	$5,312.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.42 / $3,392.98 / $5,278.27	Professional		$314.42	$3,392.98	$5,278.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,241.20 / $5,110.50	Professional		$5.00	$4,241.20	$5,110.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.26 / $4,293.31 / $5,667.64	Professional		$2,089.26	$4,293.31	$5,667.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $313.20 / $3,379.90	Professional		$266.20	$313.20	$3,379.90