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 $773.37 / $1,227.08 / $1,227.08	Professional		$773.37	$1,227.08	$1,227.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.60 / $2,058.11 / $2,362.62	Professional		$1,792.60	$2,058.11	$2,362.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.71 / $1,259.81 / $2,125.25	Professional		$759.71	$1,259.81	$2,125.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,150.27 / $2,249.46 / $14,396.24	Facility		$1,150.27	$2,249.46	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $974.29 / $1,887.77 / $6,203.36	Professional		$974.29	$1,887.77	$6,203.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,376.00 / $2,465.09 / $5,383.60	Facility		$1,376.00	$2,465.09	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,260.20 / $1,827.50 / $2,465.09	Professional		$1,260.20	$1,827.50	$2,465.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,524.50 / $2,148.50	Professional		$6.00	$1,524.50	$2,148.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $10,950.43 / $15,192.34	Facility		$7,379.00	$10,950.43	$15,192.34
United Facility/Professional Professional Modifier Low / Median / High Price $897.08 / $1,796.37 / $2,539.36	Professional		$897.08	$1,796.37	$2,539.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,547.40 / $1,547.40 / $1,820.50	Professional		$1,547.40	$1,547.40	$1,820.50