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 $723.24 / $868.18 / $1,095.20	Professional		$723.24	$868.18	$1,095.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.76 / $1,761.30 / $1,975.99	Professional		$1,564.76	$1,761.30	$1,975.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $659.78 / $1,129.73 / $1,894.15	Professional		$659.78	$1,129.73	$1,894.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $961.19 / $1,821.51 / $16,298.90	Facility		$961.19	$1,821.51	$16,298.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,649.96 / $5,306.72	Professional		$841.85	$1,649.96	$5,306.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,110.82 / $1,595.92 / $2,100.23	Facility		$1,110.82	$1,595.92	$2,100.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,564.76 / $2,100.23	Professional		$1,105.00	$1,564.76	$2,100.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,253.30 / $1,815.30	Professional		$6.00	$1,253.30	$1,815.30
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 $784.07 / $1,404.51 / $2,219.46	Professional		$784.07	$1,404.51	$2,219.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,355.50 / $1,355.50 / $1,594.70	Professional		$1,355.50	$1,355.50	$1,594.70