Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.60 / $936.12 / $1,004.72	Professional		$582.60	$936.12	$1,004.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.93 / $1,455.36 / $1,819.20	Professional		$1,220.93	$1,455.36	$1,819.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.51 / $938.07 / $2,215.44	Professional		$605.51	$938.07	$2,215.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.72 / $1,645.29 / $11,139.12	Facility		$1,004.72	$1,645.29	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.27 / $1,280.26 / $5,321.36	Professional		$666.27	$1,280.26	$5,321.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,176.33 / $1,652.81 / $6,616.19	Facility		$1,176.33	$1,652.81	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.22 / $1,425.02 / $1,855.85	Professional		$934.22	$1,425.02	$1,855.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $625.38 / $1,144.60 / $7,323.26	Professional		$625.38	$1,144.60	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.05 / $950.94 / $1,934.76	Professional		$624.05	$950.94	$1,934.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $992.64 / $1,256.50 / $1,478.30	Professional		$992.64	$1,256.50	$1,478.30