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 $657.36 / $868.25 / $868.25	Professional		$657.36	$868.25	$868.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.87 / $1,762.63 / $1,978.91	Professional		$1,441.87	$1,762.63	$1,978.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.77 / $1,016.89 / $1,757.01	Professional		$659.77	$1,016.89	$1,757.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $882.40 / $1,783.11 / $7,393.10	Facility		$882.40	$1,783.11	$7,393.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $839.76 / $1,647.71 / $5,311.04	Professional		$839.76	$1,647.71	$5,311.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.63 / $1,566.23 / $2,097.64	Facility		$1,064.63	$1,566.23	$2,097.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,036.73 / $1,566.23 / $2,097.64	Professional		$1,036.73	$1,566.23	$2,097.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,337.40 / $1,818.10	Professional		$6.00	$1,337.40	$1,818.10
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 $783.00 / $1,402.59 / $2,216.44	Professional		$783.00	$1,402.59	$2,216.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,356.70 / $1,356.70 / $1,596.10	Professional		$1,356.70	$1,356.70	$1,596.10