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 $681.46 / $1,046.23 / $3,970.45	Professional		$681.46	$1,046.23	$3,970.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.22 / $1,662.60 / $2,078.25	Professional		$732.22	$1,662.60	$2,078.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $713.78 / $1,154.84 / $2,357.21	Professional		$713.78	$1,154.84	$2,357.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.90 / $1,639.50 / $4,034.61	Facility		$942.90	$1,639.50	$4,034.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $848.59 / $1,595.21 / $5,578.64	Professional		$848.59	$1,595.21	$5,578.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,107.29 / $1,697.22 / $2,330.89	Facility		$1,107.29	$1,697.22	$2,330.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,107.29 / $1,662.95 / $2,175.04	Professional		$1,107.29	$1,662.95	$2,175.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.21 / $1,304.80 / $1,572.20	Professional		$677.21	$1,304.80	$1,572.20
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 $792.04 / $1,178.70 / $2,349.15	Professional		$792.04	$1,178.70	$2,349.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,182.31 / $1,496.60 / $1,760.70	Professional		$1,182.31	$1,496.60	$1,760.70