Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $4,604.83 / $8,042.03	Facility		$3,421.00	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $1,290.04 / $3,481.00	Professional		$837.35	$1,290.04	$3,481.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.98 / $1,938.61 / $2,222.38	Professional		$1,524.98	$1,938.61	$2,222.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.39 / $1,064.73 / $2,260.48	Professional		$724.39	$1,064.73	$2,260.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,290.04 / $2,066.90 / $12,656.46	Facility		$1,290.04	$2,066.90	$12,656.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.77 / $1,809.26 / $5,835.28	Professional		$956.77	$1,809.26	$5,835.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,315.00 / $2,354.88 / $4,818.76	Facility		$1,315.00	$2,354.88	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,189.16 / $1,716.86 / $2,366.21	Professional		$1,189.16	$1,716.86	$2,366.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,317.80 / $1,934.90	Professional		$3.00	$1,317.80	$1,934.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,523.00 / $11,732.00	Facility		$6,354.00	$8,523.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.01 / $1,721.16 / $2,433.76	Professional		$874.01	$1,721.16	$2,433.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,487.20 / $1,487.20 / $1,749.70	Professional		$1,487.20	$1,487.20	$1,749.70