Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.46 / $2,081.13 / $2,857.81	Professional		$423.46	$2,081.13	$2,857.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.34 / $1,088.79 / $4,721.35	Professional		$841.34	$1,088.79	$4,721.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $479.27 / $2,088.41 / $6,950.73	Professional		$479.27	$2,088.41	$6,950.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.47 / $2,950.00 / $8,342.00	Facility		$857.47	$2,950.00	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,013.64 / $4,074.94 / $6,724.22	Professional		$1,013.64	$4,074.94	$6,724.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $879.06 / $2,578.25 / $4,634.70	Facility		$879.06	$2,578.25	$4,634.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $841.34 / $3,253.90 / $5,250.65	Professional		$841.34	$3,253.90	$5,250.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,503.90 / $4,731.80	Professional		$5.00	$2,503.90	$4,731.80
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 $2,020.63 / $3,623.55 / $5,518.48	Professional		$2,020.63	$3,623.55	$5,518.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $872.80 / $3,620.20	Professional		$741.90	$872.80	$3,620.20