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 $280.68 / $1,447.68 / $2,405.80	Professional		$280.68	$1,447.68	$2,405.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.97 / $3,213.95 / $4,324.01	Professional		$634.97	$3,213.95	$4,324.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $1,735.41 / $3,338.68	Professional		$274.82	$1,735.41	$3,338.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.68 / $3,458.98 / $8,545.00	Facility		$696.68	$3,458.98	$8,545.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.45 / $3,300.57 / $5,748.61	Professional		$785.45	$3,300.57	$5,748.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $699.29 / $2,858.94 / $4,281.09	Facility		$699.29	$2,858.94	$4,281.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $640.46 / $2,790.17 / $4,365.78	Professional		$640.46	$2,790.17	$4,365.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.57 / $1,355.04 / $3,153.53	Professional		$306.57	$1,355.04	$3,153.53
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 $1,724.07 / $2,998.38 / $4,955.39	Professional		$1,724.07	$2,998.38	$4,955.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $587.20 / $690.80 / $3,466.60	Professional		$587.20	$690.80	$3,466.60