Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.80 / $832.50 / $836.51	Professional		$481.80	$832.50	$836.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.89 / $1,208.01 / $1,494.90	Professional		$1,032.89	$1,208.01	$1,494.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.03 / $787.33 / $1,727.60	Professional		$501.03	$787.33	$1,727.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $1,402.86 / $8,957.00	Facility		$832.50	$1,402.86	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.03 / $1,154.83 / $6,371.67	Professional		$561.03	$1,154.83	$6,371.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $972.07 / $1,475.47 / $2,961.89	Facility		$972.07	$1,475.47	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $816.04 / $1,196.03 / $1,638.29	Professional		$816.04	$1,196.03	$1,638.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.76 / $968.61 / $3,259.56	Professional		$521.76	$968.61	$3,259.56
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 $524.92 / $837.77 / $1,627.42	Professional		$524.92	$837.77	$1,627.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.84 / $1,040.30 / $1,223.90	Professional		$821.84	$1,040.30	$1,223.90