Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $7,943.28	Facility		$1,659.59	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $5,011.87	Professional		$562.34	$630.96	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $7,079.46	Professional		$1,819.70	$3,467.37	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $6,025.60	Facility		$1,584.89	$2,570.40	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,630.78 / $5,011.87	Professional		$3,548.13	$3,630.78	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,011.87	Professional		$3,630.78	$3,630.78	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $4,265.80	Professional		$2,818.38	$3,630.78	$4,265.80