Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.11 / $963.87 / $963.87	Professional		$730.11	$963.87	$963.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.01 / $1,906.54 / $2,199.01	Professional		$1,637.01	$1,906.54	$2,199.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $730.28 / $1,162.21 / $1,974.90	Professional		$730.28	$1,162.21	$1,974.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.92 / $2,025.13 / $17,704.40	Facility		$1,200.92	$2,025.13	$17,704.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $931.14 / $1,813.81 / $5,898.64	Professional		$931.14	$1,813.81	$5,898.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $2,301.73 / $6,156.40	Facility		$1,277.00	$2,301.73	$6,156.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,133.01 / $1,704.52 / $2,301.73	Professional		$1,133.01	$1,704.52	$2,301.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,259.70 / $2,025.90	Professional		$4.00	$1,259.70	$2,025.90
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 $861.94 / $1,723.24 / $2,439.88	Professional		$861.94	$1,723.24	$2,439.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,504.20 / $1,504.20 / $1,769.70	Professional		$1,504.20	$1,504.20	$1,769.70