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 $569.04 / $935.90 / $985.96	Professional		$569.04	$935.90	$985.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $1,420.30 / $1,775.37	Professional		$1,134.00	$1,420.30	$1,775.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $578.55 / $921.83 / $2,311.91	Professional		$578.55	$921.83	$2,311.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $951.05 / $1,539.57 / $9,082.00	Facility		$951.05	$1,539.57	$9,082.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.03 / $1,232.51 / $4,644.16	Professional		$647.03	$1,232.51	$4,644.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,134.00 / $1,539.57 / $3,502.70	Facility		$1,134.00	$1,539.57	$3,502.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $932.93 / $1,395.92 / $1,840.56	Professional		$932.93	$1,395.92	$1,840.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $1,139.29 / $4,129.89	Professional		$614.54	$1,139.29	$4,129.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $647.03 / $941.14 / $1,914.80	Professional		$647.03	$941.14	$1,914.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $972.41 / $1,230.90 / $1,448.10	Professional		$972.41	$1,230.90	$1,448.10