Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.79 / $4,604.83 / $7,119.04	Facility		$1,002.79	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $1,183.41 / $1,972.00	Professional		$238.50	$1,183.41	$1,972.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.14 / $1,404.82 / $3,540.04	Professional		$454.14	$1,404.82	$3,540.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.97 / $1,562.99 / $2,654.65	Professional		$263.97	$1,562.99	$2,654.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.14 / $1,607.00 / $3,349.66	Facility		$454.14	$1,607.00	$3,349.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.05 / $2,956.80 / $4,678.91	Professional		$550.05	$2,956.80	$4,678.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $513.32 / $2,283.07 / $3,651.84	Facility		$513.32	$2,283.07	$3,651.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $454.14 / $2,283.07 / $3,651.84	Professional		$454.14	$2,283.07	$3,651.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,667.60 / $3,608.80	Professional		$3.00	$1,667.60	$3,608.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,462.81 / $2,570.03 / $4,140.77	Professional		$1,462.81	$2,570.03	$4,140.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $471.10 / $2,711.20	Professional		$400.50	$471.10	$2,711.20