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 $579.23 / $949.68 / $1,003.93	Professional		$579.23	$949.68	$1,003.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.00 / $1,445.23 / $1,806.54	Professional		$1,174.00	$1,445.23	$1,806.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $590.19 / $940.58 / $2,094.75	Professional		$590.19	$940.58	$2,094.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $918.41 / $1,567.79 / $11,139.12	Facility		$918.41	$1,567.79	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.93 / $1,255.92 / $4,729.04	Professional		$657.93	$1,255.92	$4,729.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,173.40 / $1,567.79 / $6,616.19	Facility		$1,173.40	$1,567.79	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $948.19 / $1,422.11 / $1,871.33	Professional		$948.19	$1,422.11	$1,871.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $1,141.15 / $7,323.26	Professional		$627.04	$1,141.15	$7,323.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.03 / $956.99 / $1,782.40	Professional		$628.03	$956.99	$1,782.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $990.66 / $1,254.00 / $1,475.30	Professional		$990.66	$1,254.00	$1,475.30