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 $727.02 / $861.71 / $1,089.72	Professional		$727.02	$861.71	$1,089.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.57 / $1,749.43 / $1,963.33	Professional		$1,554.57	$1,749.43	$1,963.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $560.46 / $1,112.90 / $1,866.30	Professional		$560.46	$1,112.90	$1,866.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $947.68 / $1,749.43 / $7,393.10	Facility		$947.68	$1,749.43	$7,393.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.33 / $1,636.36 / $5,271.20	Professional		$831.33	$1,636.36	$5,271.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,118.11 / $1,574.76 / $2,082.76	Facility		$1,118.11	$1,574.76	$2,082.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,554.57 / $2,082.76	Professional		$1,090.00	$1,554.57	$2,082.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,244.40 / $1,804.40	Professional		$6.00	$1,244.40	$1,804.40
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 $777.61 / $1,392.93 / $2,201.17	Professional		$777.61	$1,392.93	$2,201.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,346.60 / $1,346.60 / $1,584.30	Professional		$1,346.60	$1,346.60	$1,584.30