Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $11,611.47	Facility		$5,091.00	$7,119.04	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.55 / $1,000.09 / $2,229.44	Professional		$643.55	$1,000.09	$2,229.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $1,932.00 / $1,932.00	Facility		$1,932.00	$1,932.00	$1,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.23 / $1,590.92 / $1,988.65	Professional		$656.23	$1,590.92	$1,988.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $641.91 / $1,039.75 / $3,017.40	Professional		$641.91	$1,039.75	$3,017.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.48 / $1,719.68 / $11,732.00	Facility		$1,033.48	$1,719.68	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $799.72 / $1,550.21 / $11,064.05	Professional		$799.72	$1,550.21	$11,064.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $1,892.76 / $6,743.09	Facility		$1,226.00	$1,892.76	$6,743.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,104.66 / $1,550.21 / $2,136.75	Professional		$1,104.66	$1,550.21	$2,136.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,348.80 / $1,810.90	Professional		$6.00	$1,348.80	$1,810.90
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 $739.23 / $1,220.58 / $2,209.46	Professional		$739.23	$1,220.58	$2,209.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,079.84 / $1,366.90 / $1,608.20	Professional		$1,079.84	$1,366.90	$1,608.20