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 $754.36 / $996.90 / $996.90	Professional		$754.36	$996.90	$996.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.94 / $2,022.27 / $2,266.21	Professional		$1,796.94	$2,022.27	$2,266.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.54 / $1,326.82 / $2,231.51	Professional		$758.54	$1,326.82	$2,231.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,491.41 / $2,179.44 / $7,393.10	Facility		$1,491.41	$2,179.44	$7,393.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $984.06 / $1,901.32 / $7,017.19	Professional		$984.06	$1,901.32	$7,017.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,231.93 / $1,854.45 / $2,425.52	Facility		$1,231.93	$1,854.45	$2,425.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,231.93 / $1,796.94 / $2,425.52	Professional		$1,231.93	$1,796.94	$2,425.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,448.30 / $2,081.19	Professional		$6.00	$1,448.30	$2,081.19
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 $906.86 / $1,720.95 / $2,557.59	Professional		$906.86	$1,720.95	$2,557.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,556.60 / $1,556.60 / $1,831.30	Professional		$1,556.60	$1,556.60	$1,831.30