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 $812.71 / $1,525.73 / $4,760.00	Professional		$812.71	$1,525.73	$4,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.77 / $2,010.08 / $2,512.60	Professional		$1,024.77	$2,010.08	$2,512.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.37 / $1,105.13 / $2,542.84	Professional		$780.37	$1,105.13	$2,542.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,106.66 / $2,397.85 / $10,015.53	Facility		$1,106.66	$2,397.85	$10,015.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $958.32 / $1,574.64 / $2,867.62	Professional		$958.32	$1,574.64	$2,867.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,341.70 / $2,650.88 / $4,921.68	Facility		$1,341.70	$2,650.88	$4,921.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,738.86 / $2,320.32	Professional		$1,248.00	$1,738.86	$2,320.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.68 / $1,341.03 / $1,559.51	Professional		$1,230.68	$1,341.03	$1,559.51
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 $905.45 / $1,333.31 / $2,476.25	Professional		$905.45	$1,333.31	$2,476.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,294.97 / $1,793.40 / $1,928.40	Professional		$1,294.97	$1,793.40	$1,928.40