Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.02 / $5,549.00 / $11,100.08	Facility		$627.02	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.48 / $1,267.42 / $1,267.42	Professional		$750.48	$1,267.42	$1,267.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.63 / $2,044.41 / $2,316.71	Professional		$1,810.63	$2,044.41	$2,316.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $792.09 / $1,305.03 / $2,242.86	Professional		$792.09	$1,305.03	$2,242.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,125.50 / $2,193.77 / $11,072.12	Facility		$1,125.50	$2,193.77	$11,072.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $964.13 / $1,905.94 / $6,172.08	Professional		$964.13	$1,905.94	$6,172.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,425.90 / $4,164.35	Facility		$1,403.00	$2,425.90	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,883.54 / $2,425.90	Professional		$1,207.00	$1,883.54	$2,425.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,504.10 / $2,151.80	Professional		$6.00	$1,504.10	$2,151.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.72 / $1,620.46 / $2,563.81	Professional		$905.72	$1,620.46	$2,563.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,631.60 / $1,631.60 / $1,919.50	Professional		$1,631.60	$1,631.60	$1,919.50