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 $535.11 / $880.90 / $933.04	Professional		$535.11	$880.90	$933.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,351.74 / $1,689.67	Professional		$1,072.00	$1,351.74	$1,689.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $917.82 / $1,798.15	Professional		$548.14	$917.82	$1,798.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.04 / $1,459.25 / $7,896.02	Facility		$933.04	$1,459.25	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.34 / $1,158.09 / $9,231.33	Professional		$608.34	$1,158.09	$9,231.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.99 / $1,553.00 / $2,961.89	Facility		$1,092.99	$1,553.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $1,324.60 / $1,733.30	Professional		$877.59	$1,324.60	$1,733.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.91 / $1,077.93 / $3,259.56	Professional		$581.91	$1,077.93	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,091.00 / $9,874.90	Facility		$4,700.00	$7,091.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $580.69 / $884.86 / $1,613.98	Professional		$580.69	$884.86	$1,613.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $922.72 / $1,168.00 / $1,374.10	Professional		$922.72	$1,168.00	$1,374.10