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 $552.22 / $746.82 / $1,103.64	Professional		$552.22	$746.82	$1,103.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.29 / $1,322.14 / $1,645.85	Professional		$1,124.29	$1,322.14	$1,645.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.11 / $829.20 / $1,559.43	Professional		$552.11	$829.20	$1,559.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.79 / $1,463.53 / $7,123.00	Facility		$912.79	$1,463.53	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.75 / $1,215.36 / $4,399.59	Professional		$616.75	$1,215.36	$4,399.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,435.27 / $2,961.89	Facility		$1,089.00	$1,435.27	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,263.47 / $1,759.28	Professional		$897.27	$1,263.47	$1,759.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.63 / $1,010.35 / $3,259.56	Professional		$551.63	$1,010.35	$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 $570.50 / $897.09 / $1,777.39	Professional		$570.50	$897.09	$1,777.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $880.14 / $1,114.09 / $1,310.70	Professional		$880.14	$1,114.09	$1,310.70