Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $1,115.55 / $1,183.26	Professional		$820.20	$1,115.55	$1,183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.57 / $1,890.73 / $2,147.39	Professional		$1,619.57	$1,890.73	$2,147.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.43 / $1,153.27 / $2,077.91	Professional		$707.43	$1,153.27	$2,077.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,349.49 / $1,890.73 / $6,241.90	Facility		$1,349.49	$1,890.73	$6,241.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.57 / $1,789.47 / $6,219.71	Professional		$971.57	$1,789.47	$6,219.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $1,673.21 / $2,329.67	Facility		$1,200.50	$1,673.21	$2,329.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,200.50 / $1,673.21 / $2,329.67	Professional		$1,200.50	$1,673.21	$2,329.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,440.40 / $1,899.10	Professional		$6.00	$1,440.40	$1,899.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.37 / $1,523.27 / $2,407.13	Professional		$850.37	$1,523.27	$2,407.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,475.40 / $1,475.40 / $1,735.70	Professional		$1,475.40	$1,475.40	$1,735.70