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 $726.80 / $961.44 / $961.44	Professional		$726.80	$961.44	$961.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.35 / $1,950.84 / $2,179.53	Professional		$1,734.35	$1,950.84	$2,179.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $734.59 / $1,284.89 / $3,543.90	Professional		$734.59	$1,284.89	$3,543.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,177.28 / $2,136.56 / $25,336.55	Facility		$1,177.28	$2,136.56	$25,336.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $973.87 / $1,855.05 / $6,544.97	Professional		$973.87	$1,855.05	$6,544.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,401.00 / $2,377.90 / $8,854.25	Facility		$1,401.00	$2,377.90	$8,854.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,271.00 / $1,734.35 / $2,377.90	Professional		$1,271.00	$1,734.35	$2,377.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,426.00 / $1,996.50	Professional		$6.00	$1,426.00	$1,996.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $881.53 / $1,579.09 / $2,495.35	Professional		$881.53	$1,579.09	$2,495.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,502.40 / $1,502.40 / $1,767.50	Professional		$1,502.40	$1,502.40	$1,767.50