Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.27 / $1,565.39 / $2,038.34	Professional		$556.27	$1,565.39	$2,038.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.17 / $2,334.94 / $4,661.64	Professional		$1,002.17	$2,334.94	$4,661.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $420.33 / $2,394.73 / $4,943.58	Professional		$420.33	$2,394.73	$4,943.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.88 / $4,042.65 / $11,732.00	Facility		$973.88	$4,042.65	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,228.57 / $4,042.65 / $12,212.32	Professional		$1,228.57	$4,042.65	$12,212.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,007.72 / $4,142.77 / $5,244.58	Facility		$1,007.72	$4,142.77	$5,244.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,002.17 / $3,067.94 / $4,783.70	Professional		$1,002.17	$3,067.94	$4,783.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $3,690.20 / $4,737.50	Professional		$4.00	$3,690.20	$4,737.50
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 $2,033.84 / $3,551.40 / $5,517.31	Professional		$2,033.84	$3,551.40	$5,517.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $868.10 / $1,021.30 / $3,501.60	Professional		$868.10	$1,021.30	$3,501.60