Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.79 / $1,140.30 / $2,075.35	Professional		$383.79	$1,140.30	$2,075.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.51 / $2,582.96 / $3,406.61	Professional		$823.51	$2,582.96	$3,406.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $1,626.18 / $3,189.28	Professional		$353.48	$1,626.18	$3,189.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.94 / $2,828.28 / $8,545.00	Facility		$851.94	$2,828.28	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.94 / $2,518.44 / $5,723.00	Professional		$851.94	$2,518.44	$5,723.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $853.05 / $2,518.44 / $3,250.80	Facility		$853.05	$2,518.44	$3,250.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $742.00 / $2,073.94 / $3,355.57	Professional		$742.00	$2,073.94	$3,355.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $408.36 / $1,216.47 / $3,215.07	Professional		$408.36	$1,216.47	$3,215.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.03 / $2,513.26 / $3,971.56	Professional		$1,403.03	$2,513.26	$3,971.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $770.70 / $906.70 / $2,776.50	Professional		$770.70	$906.70	$2,776.50