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 $492.40 / $1,062.49 / $1,870.54	Professional		$492.40	$1,062.49	$1,870.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.76 / $2,390.81 / $3,175.81	Professional		$709.76	$2,390.81	$3,175.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $1,504.49 / $2,610.59	Professional		$302.95	$1,504.49	$2,610.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.30 / $2,749.69 / $13,476.00	Facility		$758.30	$2,749.69	$13,476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $729.49 / $2,407.31 / $5,036.00	Professional		$729.49	$2,407.31	$5,036.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $733.03 / $2,771.14 / $9,740.48	Facility		$733.03	$2,771.14	$9,740.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $2,012.00 / $3,459.79	Professional		$721.98	$2,012.00	$3,459.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.79 / $1,125.93 / $10,485.96	Professional		$350.79	$1,125.93	$10,485.96
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 $1,352.01 / $2,713.05 / $3,827.13	Professional		$1,352.01	$2,713.05	$3,827.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $661.90 / $778.70 / $2,578.69	Professional		$661.90	$778.70	$2,578.69