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 $264.11 / $1,119.82 / $1,979.43	Professional		$264.11	$1,119.82	$1,979.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.67 / $1,308.33 / $3,457.26	Professional		$443.67	$1,308.33	$3,457.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $1,413.50 / $2,035.84	Professional		$262.23	$1,413.50	$2,035.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.96 / $2,228.54 / $6,558.00	Facility		$539.96	$2,228.54	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,090.54 / $2,641.87 / $5,190.37	Professional		$1,090.54	$2,641.87	$5,190.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.99 / $2,234.11 / $3,468.22	Facility		$614.99	$2,234.11	$3,468.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $614.99 / $2,321.38 / $3,465.24	Professional		$614.99	$2,321.38	$3,465.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,594.00	Professional		$5.00	$5.00	$1,594.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,282.99 / $2,171.39 / $3,779.96	Professional		$1,282.99	$2,171.39	$3,779.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $689.90 / $2,800.90	Professional		$563.79	$689.90	$2,800.90