Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $813.06 / $1,060.21	Professional		$586.47	$813.06	$1,060.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,582.35 / $1,977.94	Professional		$1,202.06	$1,582.35	$1,977.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $617.33 / $977.46 / $2,090.78	Professional		$617.33	$977.46	$2,090.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $996.08 / $1,588.28 / $11,139.12	Facility		$996.08	$1,588.28	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.41 / $1,248.05 / $5,124.56	Professional		$659.41	$1,248.05	$5,124.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,278.07 / $1,697.54 / $6,616.19	Facility		$1,278.07	$1,697.54	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $926.19 / $1,390.84 / $1,814.70	Professional		$926.19	$1,390.84	$1,814.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $670.68 / $1,203.67 / $7,323.26	Professional		$670.68	$1,203.67	$7,323.26
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 $627.29 / $959.14 / $1,786.39	Professional		$627.29	$959.14	$1,786.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,057.02 / $1,338.00 / $1,574.20	Professional		$1,057.02	$1,338.00	$1,574.20