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 $613.46 / $970.99 / $970.99	Professional		$613.46	$970.99	$970.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.45 / $1,621.33 / $1,861.08	Professional		$1,405.45	$1,621.33	$1,861.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $585.13 / $978.90 / $1,663.06	Professional		$585.13	$978.90	$1,663.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,678.62 / $14,396.24	Facility		$953.00	$1,678.62	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.26 / $1,439.80 / $7,623.00	Professional		$720.26	$1,439.80	$7,623.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,835.91 / $5,383.60	Facility		$1,032.00	$1,835.91	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,405.45 / $1,835.91	Professional		$914.00	$1,405.45	$1,835.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,127.50 / $1,737.30	Professional		$5.00	$1,127.50	$1,737.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $684.20 / $1,369.91 / $1,936.77	Professional		$684.20	$1,369.91	$1,936.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,205.40 / $1,205.40 / $1,418.10	Professional		$1,205.40	$1,205.40	$1,418.10