Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.94 / $1,153.34 / $4,348.68	Professional		$759.94	$1,153.34	$4,348.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.10 / $1,846.47 / $2,345.10	Professional		$770.10	$1,846.47	$2,345.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $747.20 / $1,212.68 / $2,833.94	Professional		$747.20	$1,212.68	$2,833.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.64 / $1,896.74 / $11,732.00	Facility		$1,135.64	$1,896.74	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $943.84 / $1,824.59 / $7,007.28	Professional		$943.84	$1,824.59	$7,007.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $2,178.35 / $5,383.60	Facility		$1,450.00	$2,178.35	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,293.18 / $1,791.83 / $2,505.40	Professional		$1,293.18	$1,791.83	$2,505.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,484.40 / $2,103.10	Professional		$5.00	$1,484.40	$2,103.10
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 $865.18 / $1,337.10 / $2,560.39	Professional		$865.18	$1,337.10	$2,560.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,248.20 / $1,580.00 / $1,858.80	Professional		$1,248.20	$1,580.00	$1,858.80