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 $252.65 / $1,165.32 / $2,011.75	Professional		$252.65	$1,165.32	$2,011.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.69 / $1,120.45 / $3,583.20	Professional		$390.69	$1,120.45	$3,583.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $1,438.70 / $2,096.71	Professional		$232.96	$1,438.70	$2,096.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.74 / $2,312.63 / $6,558.00	Facility		$514.74	$2,312.63	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,206.52 / $2,977.88 / $5,539.58	Professional		$1,206.52	$2,977.88	$5,539.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $2,330.46 / $3,938.47	Facility		$542.92	$2,330.46	$3,938.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $2,346.44 / $3,790.37	Professional		$542.92	$2,346.44	$3,790.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,637.00 / $4,111.80	Professional		$5.00	$1,637.00	$4,111.80
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 $1,434.92 / $2,606.86 / $4,243.06	Professional		$1,434.92	$2,606.86	$4,243.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $609.00 / $2,870.00	Professional		$497.80	$609.00	$2,870.00