Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.36 / $1,526.94 / $1,526.94	Professional		$813.36	$1,526.94	$1,526.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.17 / $2,011.64 / $2,514.55	Professional		$1,025.17	$2,011.64	$2,514.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,107.36 / $2,545.40	Professional		$780.98	$1,107.36	$2,545.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,111.83 / $2,385.44 / $10,015.53	Facility		$1,111.83	$2,385.44	$10,015.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.11 / $1,582.22 / $2,882.84	Professional		$959.11	$1,582.22	$2,882.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,342.80 / $2,651.93 / $4,188.66	Facility		$1,342.80	$2,651.93	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,252.00 / $1,740.29 / $2,332.16	Professional		$1,252.00	$1,740.29	$2,332.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.24 / $1,342.07 / $1,560.72	Professional		$1,231.24	$1,342.07	$1,560.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.50 / $1,334.42 / $2,478.29	Professional		$888.50	$1,334.42	$2,478.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,295.92 / $1,794.80 / $1,929.90	Professional		$1,295.92	$1,794.80	$1,929.90