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 $686.79 / $1,306.93 / $1,306.93	Professional		$686.79	$1,306.93	$1,306.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.74 / $1,620.53 / $2,025.66	Professional		$925.74	$1,620.53	$2,025.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $631.09 / $892.15 / $1,573.30	Professional		$631.09	$892.15	$1,573.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $2,027.13 / $6,945.09	Facility		$1,143.52	$2,027.13	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.89 / $1,460.28 / $2,542.06	Professional		$844.89	$1,460.28	$2,542.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,387.25 / $1,898.00 / $2,428.62	Facility		$1,387.25	$1,898.00	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $1,552.35 / $2,038.18	Professional		$1,002.00	$1,552.35	$2,038.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.30 / $1,666.89 / $2,536.59	Professional		$1,477.30	$1,666.89	$2,536.59
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 $819.95 / $1,171.34 / $2,112.02	Professional		$819.95	$1,171.34	$2,112.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,050.38 / $1,454.70 / $1,564.20	Professional		$1,050.38	$1,454.70	$1,564.20