Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.84 / $960.47 / $1,552.05	Professional		$797.84	$960.47	$1,552.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $1,392.00 / $1,392.00	Facility		$1,392.00	$1,392.00	$1,392.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.71 / $2,084.87 / $2,606.09	Professional		$863.71	$2,084.87	$2,606.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $847.97 / $1,368.54 / $4,101.50	Professional		$847.97	$1,368.54	$4,101.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,314.43 / $2,163.92 / $11,732.00	Facility		$1,314.43	$2,163.92	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.41 / $2,040.75 / $9,862.15	Professional		$1,030.41	$2,040.75	$9,862.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.00 / $2,340.16 / $5,383.60	Facility		$1,513.00	$2,340.16	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,312.78 / $2,040.75 / $2,815.60	Professional		$1,312.78	$2,040.75	$2,815.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,561.00 / $2,378.19	Professional		$6.00	$1,561.00	$2,378.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.06 / $1,433.62 / $2,916.78	Professional		$973.06	$1,433.62	$2,916.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,421.61 / $1,799.50 / $2,117.00	Professional		$1,421.61	$1,799.50	$2,117.00