Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $1,610.54 / $2,737.44	Professional		$317.29	$1,610.54	$2,737.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $1,707.29 / $5,243.34	Professional		$453.50	$1,707.29	$5,243.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $2,370.29 / $3,933.28	Professional		$309.60	$2,370.29	$3,933.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.16 / $2,737.44 / $4,888.13	Facility		$638.16	$2,737.44	$4,888.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $866.99 / $4,028.29 / $13,089.20	Professional		$866.99	$4,028.29	$13,089.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $725.60 / $3,911.18 / $5,327.86	Facility		$725.60	$3,911.18	$5,327.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $725.60 / $3,282.20 / $4,888.13	Professional		$725.60	$3,282.20	$4,888.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $343.73 / $1,582.64 / $3,374.01	Professional		$343.73	$1,582.64	$3,374.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,946.67 / $3,462.62 / $5,747.72	Professional		$1,946.67	$3,462.62	$5,747.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $665.20 / $814.00 / $4,218.60	Professional		$665.20	$814.00	$4,218.60