Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.85 / $963.10 / $1,382.22	Professional		$577.85	$963.10	$1,382.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.04 / $1,431.99 / $1,890.42	Professional		$885.04	$1,431.99	$1,890.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $450.94 / $641.91 / $2,444.21	Professional		$450.94	$641.91	$2,444.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,252.81 / $2,652.89 / $11,495.00	Facility		$1,252.81	$2,652.89	$11,495.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,083.41 / $1,688.31 / $3,549.47	Professional		$1,083.41	$1,688.31	$3,549.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.33 / $2,760.79 / $4,188.66	Facility		$1,349.33	$2,760.79	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $1,890.42 / $2,321.07	Professional		$1,215.55	$1,890.42	$2,321.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,784.87 / $2,784.87 / $2,784.87	Facility		$2,784.87	$2,784.87	$2,784.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $560.12 / $1,031.23 / $4,367.31	Professional		$560.12	$1,031.23	$4,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $993.12 / $1,444.54 / $2,708.52	Professional		$993.12	$1,444.54	$2,708.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $923.35 / $1,278.90 / $1,375.10	Professional		$923.35	$1,278.90	$1,375.10