Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,679.89 / $4,679.89 / $9,076.20	Facility		$4,679.89	$4,679.89	$9,076.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $4,128.02 / $4,679.89	Professional		$121.67	$4,128.02	$4,679.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,864.02 / $4,128.02 / $5,186.53	Professional		$3,864.02	$4,128.02	$5,186.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.13 / $4,128.02 / $8,417.52	Professional		$179.13	$4,128.02	$8,417.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $4,208.06 / $6,972.18	Facility		$69.55	$4,208.06	$6,972.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,521.64 / $17,614.63	Professional		$4,125.55	$4,521.64	$17,614.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.49 / $5,984.46 / $7,257.98	Facility		$93.49	$5,984.46	$7,257.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $3,864.02 / $6,144.05	Professional		$77.73	$3,864.02	$6,144.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $8,173.89 / $8,623.10	Professional		$129.30	$8,173.89	$8,623.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,251.85 / $4,912.34	Professional		$4,128.02	$4,251.85	$4,912.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,514.75 / $4,514.75 / $4,514.75	Facility		$4,514.75	$4,514.75	$4,514.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,566.65 / $4,514.75 / $4,514.75	Professional		$3,566.65	$4,514.75	$4,514.75