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 $581.90 / $911.04 / $1,078.41	Professional		$581.90	$911.04	$1,078.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.59 / $1,554.30 / $1,942.88	Professional		$1,188.59	$1,554.30	$1,942.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $959.46 / $1,881.77	Professional		$605.91	$959.46	$1,881.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $985.95 / $1,636.95 / $6,267.00	Facility		$985.95	$1,636.95	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $662.95 / $1,251.96 / $5,035.04	Professional		$662.95	$1,251.96	$5,035.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,135.00 / $1,667.83 / $2,961.89	Facility		$1,135.00	$1,667.83	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $914.65 / $1,398.79 / $1,849.53	Professional		$914.65	$1,398.79	$1,849.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.27 / $1,181.94 / $3,259.56	Professional		$658.27	$1,181.94	$3,259.56
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 $634.91 / $967.49 / $1,793.71	Professional		$634.91	$967.49	$1,793.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,038.30 / $1,314.30 / $1,546.20	Professional		$1,038.30	$1,314.30	$1,546.20