Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.21 / $1,157.83 / $1,157.83	Professional		$646.21	$1,157.83	$1,157.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.29 / $1,741.12 / $1,975.02	Professional		$1,539.29	$1,741.12	$1,975.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.02 / $1,108.92 / $1,920.53	Professional		$651.02	$1,108.92	$1,920.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.83 / $1,863.94 / $9,388.90	Facility		$1,157.83	$1,863.94	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $897.99 / $1,650.64 / $6,017.00	Professional		$897.99	$1,650.64	$6,017.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,146.17 / $3,170.91	Facility		$1,225.00	$2,146.17	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $1,539.29 / $2,146.17	Professional		$1,121.00	$1,539.29	$2,146.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,218.90 / $1,749.20	Professional		$3.00	$1,218.90	$1,749.20
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 $784.65 / $1,448.11 / $2,221.09	Professional		$784.65	$1,448.11	$2,221.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,333.40 / $1,333.40 / $1,568.70	Professional		$1,333.40	$1,333.40	$1,568.70