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 $151.66 / $1,060.41 / $1,979.05	Professional		$151.66	$1,060.41	$1,979.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $951.12 / $3,278.06	Professional		$227.07	$951.12	$3,278.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $985.87 / $2,138.21	Professional		$95.65	$985.87	$2,138.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $2,669.98 / $9,495.24	Facility		$291.26	$2,669.98	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $2,168.40 / $4,269.46	Professional		$448.43	$2,168.40	$4,269.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $291.26 / $2,399.29 / $3,179.68	Facility		$291.26	$2,399.29	$3,179.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $2,022.69 / $3,179.68	Professional		$291.26	$2,022.69	$3,179.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $200.50 / $1,955.02	Professional		$91.41	$200.50	$1,955.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.49 / $1,811.62 / $3,396.78	Professional		$1,245.49	$1,811.62	$3,396.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $231.40 / $2,446.10	Professional		$196.70	$231.40	$2,446.10