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 $324.88 / $2,228.75 / $3,492.65	Professional		$324.88	$2,228.75	$3,492.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.52 / $3,030.53 / $6,464.93	Professional		$502.52	$3,030.53	$6,464.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $2,629.67 / $3,637.97	Professional		$207.58	$2,629.67	$3,637.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.12 / $3,030.53 / $5,767.77	Facility		$505.12	$3,030.53	$5,767.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.23 / $4,305.43 / $8,752.15	Professional		$589.23	$4,305.43	$8,752.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $525.55 / $1,813.25 / $5,604.05	Facility		$525.55	$1,813.25	$5,604.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $2,940.19 / $5,767.77	Professional		$505.12	$2,940.19	$5,767.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3,325.30 / $6,872.40	Professional		$3.00	$3,325.30	$6,872.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,023.23 / $3,659.05 / $6,386.15	Professional		$2,023.23	$3,659.05	$6,386.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $508.90 / $5,128.70	Professional		$432.50	$508.90	$5,128.70