Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.26 / $1,042.51 / $1,136.10	Professional		$746.26	$1,042.51	$1,136.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.42 / $1,766.89 / $2,043.19	Professional		$1,192.42	$1,766.89	$2,043.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $727.47 / $1,084.66 / $4,147.45	Professional		$727.47	$1,084.66	$4,147.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $830.95 / $1,956.41 / $15,943.93	Facility		$830.95	$1,956.41	$15,943.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $849.93 / $1,613.08 / $5,381.64	Professional		$849.93	$1,613.08	$5,381.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.24 / $2,094.81 / $5,874.92	Facility		$1,349.24	$2,094.81	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,349.24 / $1,766.89 / $2,094.81	Professional		$1,349.24	$1,766.89	$2,094.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,676.80	Professional		$5.00	$5.00	$1,676.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $799.87 / $1,391.08 / $2,312.03	Professional		$799.87	$1,391.08	$2,312.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,410.60 / $1,410.60 / $1,659.50	Professional		$1,410.60	$1,410.60	$1,659.50