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 $820.96 / $970.89 / $1,221.66	Professional		$820.96	$970.89	$1,221.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.28 / $1,968.44 / $2,207.77	Professional		$1,689.28	$1,968.44	$2,207.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $737.93 / $1,194.92 / $2,003.51	Professional		$737.93	$1,194.92	$2,003.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,807.75 / $6,550.67	Facility		$1,036.58	$1,807.75	$6,550.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $934.70 / $1,848.71 / $5,930.64	Professional		$934.70	$1,848.71	$5,930.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,233.58 / $1,748.90 / $2,358.58	Facility		$1,233.58	$1,748.90	$2,358.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,748.90 / $2,358.58	Professional		$1,212.00	$1,748.90	$2,358.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,444.90 / $2,027.10	Professional		$6.00	$1,444.90	$2,027.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.52 / $1,673.39 / $2,486.82	Professional		$878.52	$1,673.39	$2,486.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,515.00 / $1,782.30	Professional		$1,515.00	$1,515.00	$1,782.30