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 $332.44 / $1,071.49 / $1,961.41	Professional		$332.44	$1,071.49	$1,961.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $865.77 / $3,203.07	Professional		$692.62	$865.77	$3,203.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $1,514.22 / $2,342.73	Professional		$295.52	$1,514.22	$2,342.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.74 / $2,594.05 / $13,476.00	Facility		$713.74	$2,594.05	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.17 / $2,105.69 / $4,330.89	Professional		$710.17	$2,105.69	$4,330.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $713.63 / $2,366.66 / $5,661.05	Facility		$713.63	$2,366.66	$5,661.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $620.82 / $1,546.72 / $2,896.48	Professional		$620.82	$1,546.72	$2,896.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.36 / $1,133.32 / $6,201.73	Professional		$342.36	$1,133.32	$6,201.73
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.40 / $2,195.90 / $3,327.50	Professional		$1,124.40	$2,195.90	$3,327.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $759.90 / $2,598.30	Professional		$645.90	$759.90	$2,598.30