Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $1,068.03 / $2,460.65	Professional		$695.25	$1,068.03	$2,460.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $1,690.65 / $2,113.31	Professional		$698.07	$1,690.65	$2,113.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $1,146.67 / $2,019.48	Professional		$708.38	$1,146.67	$2,019.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.13 / $1,596.27 / $4,122.41	Facility		$853.13	$1,596.27	$4,122.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.96 / $1,664.97 / $5,682.16	Professional		$844.96	$1,664.97	$5,682.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,149.63 / $1,727.80 / $2,268.69	Facility		$1,149.63	$1,727.80	$2,268.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,727.80 / $2,111.35	Professional		$1,082.00	$1,727.80	$2,111.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,373.40 / $1,986.80	Professional		$6.00	$1,373.40	$1,986.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.58 / $1,200.81 / $2,395.84	Professional		$809.58	$1,200.81	$2,395.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,203.57 / $1,523.50 / $1,792.40	Professional		$1,203.57	$1,523.50	$1,792.40