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 $655.09 / $1,173.58 / $1,173.58	Professional		$655.09	$1,173.58	$1,173.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.86 / $1,764.99 / $2,005.21	Professional		$1,561.86	$1,764.99	$2,005.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.99 / $1,128.44 / $1,900.34	Professional		$659.99	$1,128.44	$1,900.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,303.33 / $1,997.52 / $9,388.90	Facility		$1,303.33	$1,997.52	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.32 / $1,666.39 / $5,313.52	Professional		$882.32	$1,666.39	$5,313.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,253.00 / $2,172.23 / $3,170.91	Facility		$1,253.00	$2,172.23	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,146.00 / $1,561.86 / $2,172.23	Professional		$1,146.00	$1,561.86	$2,172.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,210.80 / $1,772.00	Professional		$3.00	$1,210.80	$1,772.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.71 / $1,462.99 / $2,243.91	Professional		$792.71	$1,462.99	$2,243.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,352.90 / $1,352.90 / $1,591.70	Professional		$1,352.90	$1,352.90	$1,591.70