Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $831.51 / $1,579.86	Professional		$493.35	$831.51	$1,579.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.84 / $1,319.91 / $1,568.91	Professional		$1,010.84	$1,319.91	$1,568.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.67 / $781.40 / $1,197.77	Professional		$510.67	$781.40	$1,197.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.53 / $1,371.66 / $9,834.20	Facility		$672.53	$1,371.66	$9,834.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $1,145.92 / $4,092.08	Professional		$562.00	$1,145.92	$4,092.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,477.30 / $2,865.45	Facility		$798.00	$1,477.30	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $666.40 / $1,129.48 / $1,489.36	Professional		$666.40	$1,129.48	$1,489.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $907.70 / $1,418.00	Professional		$3.00	$907.70	$1,418.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,934.28 / $8,073.49 / $10,435.42	Facility		$4,934.28	$8,073.49	$10,435.42
United Facility/Professional Professional Modifier Low / Median / High Price $544.54 / $978.71 / $1,541.45	Professional		$544.54	$978.71	$1,541.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $1,002.00 / $1,178.80	Professional		$1,002.00	$1,002.00	$1,178.80