Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.86 / $4,206.38 / $7,119.04	Facility		$1,771.86	$4,206.38	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.07 / $932.56 / $932.56	Professional		$709.07	$932.56	$932.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.13 / $1,905.42 / $2,161.03	Professional		$1,663.13	$1,905.42	$2,161.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $709.42 / $1,188.43 / $2,017.35	Professional		$709.42	$1,188.43	$2,017.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,429.59 / $1,987.15 / $16,298.90	Facility		$1,429.59	$1,987.15	$16,298.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $943.26 / $1,776.45 / $5,806.93	Professional		$943.26	$1,776.45	$5,806.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,158.30 / $1,680.48 / $2,294.01	Facility		$1,158.30	$1,680.48	$2,294.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $1,680.48 / $2,294.01	Professional		$1,158.30	$1,680.48	$2,294.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,274.40 / $1,929.10	Professional		$6.00	$1,274.40	$1,929.10
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 $844.18 / $1,603.94 / $2,389.62	Professional		$844.18	$1,603.94	$2,389.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,455.70 / $1,455.70 / $1,712.60	Professional		$1,455.70	$1,455.70	$1,712.60