Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.65 / $828.08 / $887.83	Professional		$514.65	$828.08	$887.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.36 / $1,283.96 / $1,604.95	Professional		$1,073.36	$1,283.96	$1,604.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.67 / $840.21 / $2,012.53	Professional		$534.67	$840.21	$2,012.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.83 / $1,473.05 / $7,896.02	Facility		$887.83	$1,473.05	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $587.21 / $1,138.65 / $5,317.68	Professional		$587.21	$1,138.65	$5,317.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,483.50 / $2,961.89	Facility		$1,089.00	$1,483.50	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $832.60 / $1,258.99 / $1,646.69	Professional		$832.60	$1,258.99	$1,646.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $552.88 / $1,009.88 / $3,259.56	Professional		$552.88	$1,009.88	$3,259.56
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 $552.44 / $841.81 / $1,690.95	Professional		$552.44	$841.81	$1,690.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $876.58 / $1,109.59 / $1,305.40	Professional		$876.58	$1,109.59	$1,305.40