Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $4,604.83 / $8,042.03	Facility		$3,421.00	$4,604.83	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.10 / $1,209.96 / $2,867.23	Professional		$800.10	$1,209.96	$2,867.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $1,951.27 / $2,211.02	Professional		$1,728.82	$1,951.27	$2,211.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $1,227.31 / $2,109.77	Professional		$755.00	$1,227.31	$2,109.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,221.18 / $2,044.83 / $7,393.10	Facility		$1,221.18	$2,044.83	$7,393.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.28 / $1,816.43 / $5,890.96	Professional		$921.28	$1,816.43	$5,890.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,170.76 / $1,775.16 / $2,311.01	Facility		$1,170.76	$1,775.16	$2,311.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,170.76 / $1,775.16 / $2,311.01	Professional		$1,170.76	$1,775.16	$2,311.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,431.00 / $2,055.19	Professional		$6.00	$1,431.00	$2,055.19
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 $863.18 / $1,546.22 / $2,443.40	Professional		$863.18	$1,546.22	$2,443.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,555.90 / $1,555.90 / $1,830.50	Professional		$1,555.90	$1,555.90	$1,830.50