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 $520.02 / $845.33 / $1,264.73	Professional		$520.02	$845.33	$1,264.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,309.67 / $1,637.08	Professional		$1,054.00	$1,309.67	$1,637.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.98 / $847.29 / $1,815.36	Professional		$531.98	$847.29	$1,815.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,415.60 / $8,957.00	Facility		$825.00	$1,415.60	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.35 / $1,153.00 / $4,270.39	Professional		$591.35	$1,153.00	$4,270.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,060.11 / $1,415.60 / $2,961.89	Facility		$1,060.11	$1,415.60	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $848.83 / $1,284.57 / $1,681.43	Professional		$848.83	$1,284.57	$1,681.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.86 / $1,031.08 / $3,259.56	Professional		$564.86	$1,031.08	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $564.38 / $860.14 / $1,602.02	Professional		$564.38	$860.14	$1,602.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $894.83 / $1,132.70 / $1,332.60	Professional		$894.83	$1,132.70	$1,332.60