Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $1,631.94 / $2,933.25	Professional		$75.70	$1,631.94	$2,933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $1,690.72 / $5,362.10	Professional		$92.95	$1,690.72	$5,362.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $2,771.85 / $6,526.65	Professional		$83.78	$2,771.85	$6,526.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $2,843.87 / $8,060.00	Facility		$125.22	$2,843.87	$8,060.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,815.61 / $4,057.32 / $17,923.14	Professional		$1,815.61	$4,057.32	$17,923.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $193.49 / $3,290.29 / $5,362.10	Facility		$193.49	$3,290.29	$5,362.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $3,406.00 / $5,344.11	Professional		$193.49	$3,406.00	$5,344.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,907.10 / $4,324.50 / $5,981.90	Professional		$2,907.10	$4,324.50	$5,981.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $7,487.00 / $11,869.99	Facility		$7,221.00	$7,487.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.17 / $2,904.98 / $5,910.36	Professional		$1,997.17	$2,904.98	$5,910.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $213.90 / $5,031.10	Professional		$174.80	$213.90	$5,031.10