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 $772.80 / $1,174.20 / $1,662.88	Professional		$772.80	$1,174.20	$1,662.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.58 / $1,767.11 / $2,007.16	Professional		$1,562.58	$1,767.11	$2,007.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $1,114.79 / $1,857.01	Professional		$660.10	$1,114.79	$1,857.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,078.23 / $1,890.36 / $9,495.24	Facility		$1,078.23	$1,890.36	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.56 / $1,667.39 / $5,320.08	Professional		$882.56	$1,667.39	$5,320.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,174.31 / $3,162.53	Facility		$1,240.00	$2,174.31	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,116.42 / $1,562.58 / $2,174.31	Professional		$1,116.42	$1,562.58	$2,174.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,232.59 / $1,774.30	Professional		$6.00	$1,232.59	$1,774.30
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 $792.93 / $1,420.37 / $2,244.53	Professional		$792.93	$1,420.37	$2,244.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,353.60 / $1,353.60 / $1,592.40	Professional		$1,353.60	$1,353.60	$1,592.40