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 $525.46 / $863.42 / $915.00	Professional		$525.46	$863.42	$915.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.52 / $1,344.73 / $1,680.91	Professional		$1,044.52	$1,344.73	$1,680.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $536.78 / $849.36 / $1,922.62	Professional		$536.78	$849.36	$1,922.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.23 / $1,425.42 / $7,123.00	Facility		$782.23	$1,425.42	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $597.47 / $1,128.04 / $4,338.47	Professional		$597.47	$1,128.04	$4,338.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,080.85 / $1,438.47 / $2,961.89	Facility		$1,080.85	$1,438.47	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.35 / $1,301.31 / $1,704.66	Professional		$864.35	$1,301.31	$1,704.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $554.48 / $1,026.16 / $3,259.56	Professional		$554.48	$1,026.16	$3,259.56
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 $567.41 / $869.04 / $1,618.59	Professional		$567.41	$869.04	$1,618.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $906.45 / $1,147.40 / $1,349.90	Professional		$906.45	$1,147.40	$1,349.90