Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,786.30 / $7,079.46	Facility		$1,000.00	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $2,041.74	Professional		$741.31	$851.14	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $2,344.23	Professional		$1,862.09	$1,905.46	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $5,370.32	Professional		$812.83	$1,412.54	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $12,589.25	Facility		$1,412.54	$3,715.35	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $7,943.28	Professional		$954.99	$1,621.81	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,818.38	Professional		$1,819.70	$1,862.09	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,238.72	Professional		$1,584.89	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,584.89 / $2,089.30	Professional		$7.08	$1,584.89	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $13,182.57	Facility		$5,495.41	$8,511.38	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,511.89	Professional		$870.96	$1,288.25	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,862.09	Professional		$1,584.89	$1,584.89	$1,862.09