Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,911.00 / $9,185.68	Facility		$4,146.00	$4,911.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.38 / $1,174.27 / $3,137.00	Professional		$730.38	$1,174.27	$3,137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.18 / $1,893.11 / $2,144.96	Professional		$1,678.18	$1,893.11	$2,144.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.80 / $1,227.21 / $2,108.73	Professional		$630.80	$1,227.21	$2,108.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.27 / $2,120.92 / $14,479.00	Facility		$1,174.27	$2,120.92	$14,479.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.58 / $1,762.12 / $5,715.28	Professional		$894.58	$1,762.12	$5,715.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,294.00 / $2,240.53 / $5,275.65	Facility		$1,294.00	$2,240.53	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,138.29 / $1,743.08 / $2,240.53	Professional		$1,138.29	$1,743.08	$2,240.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,385.60 / $1,995.40	Professional		$6.00	$1,385.60	$1,995.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,517.95 / $11,555.00 / $14,983.56	Facility		$7,517.95	$11,555.00	$14,983.56
United Facility/Professional Professional Modifier Low / Median / High Price $837.37 / $1,545.43 / $2,370.35	Professional		$837.37	$1,545.43	$2,370.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,509.90 / $1,509.90 / $1,776.40	Professional		$1,509.90	$1,509.90	$1,776.40