Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,096.45 / $3,023.63	Professional		$836.57	$1,096.45	$3,023.63
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $125.49 / $235.78 / $235.78	Professional	55	$125.49	$235.78	$235.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.41 / $2,056.82 / $2,571.03	Professional		$1,177.41	$2,056.82	$2,571.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $807.86 / $1,140.33 / $2,164.92	Professional		$807.86	$1,140.33	$2,164.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,350.42 / $2,420.69 / $6,945.09	Facility		$1,350.42	$2,420.69	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $995.82 / $1,725.60 / $3,136.90	Professional		$995.82	$1,725.60	$3,136.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,598.00 / $2,093.71 / $2,725.98	Facility		$1,598.00	$2,093.71	$2,725.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,919.59 / $2,725.98	Professional		$1,381.00	$1,919.59	$2,725.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $800.50 / $1,494.76 / $2,502.31	Professional		$800.50	$1,494.76	$2,502.31
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 $937.76 / $1,383.58 / $2,574.84	Professional		$937.76	$1,383.58	$2,574.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,330.76 / $1,843.10 / $1,981.80	Professional		$1,330.76	$1,843.10	$1,981.80