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 $679.47 / $1,043.39 / $3,956.41	Professional		$679.47	$1,043.39	$3,956.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.72 / $1,658.70 / $2,073.38	Professional		$729.72	$1,658.70	$2,073.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $711.41 / $1,197.18 / $2,446.17	Professional		$711.41	$1,197.18	$2,446.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.48 / $1,711.50 / $12,039.19	Facility		$1,065.48	$1,711.50	$12,039.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $857.14 / $1,643.42 / $8,379.35	Professional		$857.14	$1,643.42	$8,379.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,692.14 / $2,388.09	Facility		$1,137.85	$1,692.14	$2,388.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,692.14 / $2,238.53	Professional		$1,130.00	$1,692.14	$2,238.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,357.80 / $1,939.30	Professional		$7.00	$1,357.80	$1,939.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $1,207.75 / $2,340.27	Professional		$790.80	$1,207.75	$2,340.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,178.76 / $1,492.10 / $1,755.40	Professional		$1,178.76	$1,492.10	$1,755.40