Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.70 / $5,091.00 / $8,047.03	Facility		$1,240.70	$5,091.00	$8,047.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.11 / $2,427.90 / $4,673.02	Professional		$448.11	$2,427.90	$4,673.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.76 / $5,637.51 / $7,575.77	Professional		$903.76	$5,637.51	$7,575.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.43 / $3,040.83 / $4,133.82	Professional		$402.43	$3,040.83	$4,133.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.62 / $6,522.33 / $20,992.43	Facility		$1,005.62	$6,522.33	$20,992.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.33 / $6,542.55 / $10,381.68	Professional		$1,159.33	$6,542.55	$10,381.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,008.67 / $7,712.81 / $12,891.65	Facility		$1,008.67	$7,712.81	$12,891.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $937.40 / $5,270.77 / $8,769.45	Professional		$937.40	$5,270.77	$8,769.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.69 / $2,377.10 / $14,475.22	Professional		$453.69	$2,377.10	$14,475.22
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,432.82 / $6,461.11 / $10,210.12	Professional		$3,432.82	$6,461.11	$10,210.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $859.40 / $1,011.10 / $6,080.60	Professional		$859.40	$1,011.10	$6,080.60