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 $524.49 / $910.63 / $965.57	Professional		$524.49	$910.63	$965.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.00 / $1,396.93 / $1,746.16	Professional		$995.00	$1,396.93	$1,746.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.86 / $899.62 / $1,591.59	Professional		$567.86	$899.62	$1,591.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.12 / $1,486.98 / $14,242.22	Facility		$817.12	$1,486.98	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.64 / $1,186.92 / $4,694.09	Professional		$622.64	$1,186.92	$4,694.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,509.61 / $8,811.43	Facility		$1,089.00	$1,509.61	$8,811.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $909.21 / $1,188.47 / $1,794.48	Professional		$909.21	$1,188.47	$1,794.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $1,117.58 / $10,497.32	Professional		$603.04	$1,117.58	$10,497.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,234.00 / $10,188.00 / $14,287.46	Facility		$7,234.00	$10,188.00	$14,287.46
United Facility/Professional Professional Modifier Low / Median / High Price $601.36 / $917.38 / $1,672.16	Professional		$601.36	$917.38	$1,672.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $955.19 / $1,209.09 / $1,422.40	Professional		$955.19	$1,209.09	$1,422.40