Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.50 / $1,089.32 / $1,613.87	Professional		$709.50	$1,089.32	$1,613.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.25 / $1,731.16 / $2,163.94	Professional		$760.25	$1,731.16	$2,163.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.19 / $1,167.36 / $2,920.11	Professional		$741.19	$1,167.36	$2,920.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.67 / $1,715.64 / $10,320.00	Facility		$938.67	$1,715.64	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $860.35 / $1,706.81 / $7,231.97	Professional		$860.35	$1,706.81	$7,231.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.08 / $1,764.18 / $2,325.15	Facility		$1,163.08	$1,764.18	$2,325.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,108.00 / $1,764.18 / $2,253.92	Professional		$1,108.00	$1,764.18	$2,253.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $798.99 / $1,426.20 / $6,001.62	Professional		$798.99	$1,426.20	$6,001.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.94 / $1,229.98 / $2,435.39	Professional		$822.94	$1,229.98	$2,435.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,228.92 / $1,555.60 / $1,830.10	Professional		$1,228.92	$1,555.60	$1,830.10