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 $379.44 / $1,573.04 / $2,439.44	Professional		$379.44	$1,573.04	$2,439.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.28 / $3,470.85 / $4,687.72	Professional		$769.28	$3,470.85	$4,687.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $2,413.80 / $5,881.73	Professional		$326.60	$2,413.80	$5,881.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.28 / $4,056.23 / $11,495.00	Facility		$769.28	$4,056.23	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $953.51 / $4,131.79 / $14,199.49	Professional		$953.51	$4,131.79	$14,199.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $796.55 / $3,470.85 / $5,513.26	Facility		$796.55	$3,470.85	$5,513.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.28 / $3,087.59 / $5,016.67	Professional		$769.28	$3,087.59	$5,016.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4,039.80 / $4,775.30	Professional		$3.00	$4,039.80	$4,775.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,048.82 / $3,543.28 / $5,557.94	Professional		$2,048.82	$3,543.28	$5,557.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $784.00 / $3,537.20	Professional		$666.40	$784.00	$3,537.20