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 $599.50 / $960.70 / $1,110.32	Professional		$599.50	$960.70	$1,110.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.39 / $1,597.93 / $1,997.42	Professional		$1,228.39	$1,597.93	$1,997.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $624.11 / $988.20 / $2,204.65	Professional		$624.11	$988.20	$2,204.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.83 / $1,709.89 / $7,896.02	Facility		$1,002.83	$1,709.89	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.87 / $1,294.43 / $5,180.24	Professional		$686.87	$1,294.43	$5,180.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $1,716.01 / $2,961.89	Facility		$1,172.00	$1,716.01	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $955.86 / $1,446.51 / $1,904.77	Professional		$955.86	$1,446.51	$1,904.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $678.11 / $1,216.56 / $3,259.56	Professional		$678.11	$1,216.56	$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 $654.84 / $999.09 / $1,860.80	Professional		$654.84	$999.09	$1,860.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,068.24 / $1,352.20 / $1,590.80	Professional		$1,068.24	$1,352.20	$1,590.80