Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.69 / $802.41 / $923.33	Professional		$504.69	$802.41	$923.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.02 / $1,353.30 / $1,691.62	Professional		$987.02	$1,353.30	$1,691.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.23 / $852.74 / $1,531.32	Professional		$526.23	$852.74	$1,531.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $1,325.80 / $1,966.00	Facility		$778.84	$1,325.80	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.90 / $1,215.29 / $4,113.76	Professional		$595.90	$1,215.29	$4,113.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,086.32 / $1,313.66 / $1,702.95	Facility		$1,086.32	$1,313.66	$1,702.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $952.52 / $1,286.23 / $1,589.52	Professional		$952.52	$1,286.23	$1,589.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.41 / $999.90 / $1,727.45	Professional		$555.41	$999.90	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.02 / $862.32 / $1,606.07	Professional		$565.02	$862.32	$1,606.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $915.14 / $1,158.40 / $1,362.80	Professional		$915.14	$1,158.40	$1,362.80