Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,128.61 / $7,943.28	Facility		$1,513.56	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,137.96	Professional		$851.14	$1,023.29	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,137.96 / $2,691.53	Professional		$831.76	$2,137.96	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $5,495.41	Professional		$831.76	$1,584.89	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $13,182.57	Facility		$1,000.00	$1,995.26	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $9,120.11	Professional		$933.25	$1,659.59	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,454.71	Professional		$1,778.28	$2,089.30	$2,454.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,454.71	Professional		$1,348.96	$1,778.28	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,862.09 / $2,398.83	Professional		$6.03	$1,862.09	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,120.11 / $15,488.17	Facility		$4,168.69	$9,120.11	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,454.71	Professional		$912.01	$1,348.96	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,089.30	Professional		$1,380.38	$1,737.80	$2,089.30