Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,119.04 / $11,611.47	Facility		$5,091.00	$7,119.04	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.49 / $1,055.08 / $4,007.06	Professional		$687.49	$1,055.08	$4,007.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.56 / $1,671.95 / $2,089.94	Professional		$739.56	$1,671.95	$2,089.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.63 / $1,207.15 / $3,146.66	Professional		$720.63	$1,207.15	$3,146.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,078.96 / $1,688.62 / $4,663.00	Facility		$1,078.96	$1,688.62	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.82 / $1,666.44 / $5,623.04	Professional		$873.82	$1,666.44	$5,623.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,153.93 / $1,711.06 / $2,422.50	Facility		$1,153.93	$1,711.06	$2,422.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.00 / $1,711.06 / $2,269.17	Professional		$1,140.00	$1,711.06	$2,269.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.84 / $1,276.85 / $1,560.89	Professional		$777.84	$1,276.85	$1,560.89
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 $802.16 / $1,356.85 / $2,373.89	Professional		$802.16	$1,356.85	$2,373.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,191.95 / $1,508.80 / $1,775.00	Professional		$1,191.95	$1,508.80	$1,775.00