Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.89 / $905.87 / $976.71	Professional		$549.89	$905.87	$976.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.00 / $1,611.96 / $2,014.95	Professional		$1,151.00	$1,611.96	$2,014.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.01 / $1,052.28 / $1,800.80	Professional		$660.01	$1,052.28	$1,800.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $976.71 / $1,603.02 / $12,342.67	Facility		$976.71	$1,603.02	$12,342.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.27 / $1,223.97 / $7,679.29	Professional		$648.27	$1,223.97	$7,679.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,310.53 / $1,645.36 / $10,113.40	Facility		$1,310.53	$1,645.36	$10,113.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $935.94 / $1,388.47 / $1,850.80	Professional		$935.94	$1,388.47	$1,850.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $701.52 / $1,301.82 / $10,667.86	Professional		$701.52	$1,301.82	$10,667.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $612.25 / $942.94 / $1,768.02	Professional		$612.25	$942.94	$1,768.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,106.71 / $1,400.90 / $1,648.20	Professional		$1,106.71	$1,400.90	$1,648.20