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 $545.37 / $944.26 / $996.00	Professional		$545.37	$944.26	$996.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.23 / $1,441.34 / $1,801.67	Professional		$1,033.23	$1,441.34	$1,801.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.72 / $810.11 / $1,958.37	Professional		$586.72	$810.11	$1,958.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $797.22 / $1,452.67 / $4,645.00	Facility		$797.22	$1,452.67	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.35 / $1,233.73 / $4,852.00	Professional		$615.35	$1,233.73	$4,852.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,415.57 / $1,719.96	Facility		$953.00	$1,415.57	$1,719.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $1,415.57 / $1,710.22	Professional		$813.00	$1,415.57	$1,710.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $623.16 / $1,155.18 / $1,729.73	Professional		$623.16	$1,155.18	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.88 / $951.44 / $1,733.37	Professional		$594.88	$951.44	$1,733.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $986.08 / $1,248.20 / $1,468.50	Professional		$986.08	$1,248.20	$1,468.50