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 $502.04 / $766.62 / $766.62	Professional		$502.04	$766.62	$766.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.13 / $1,279.95 / $1,485.16	Professional		$1,058.13	$1,279.95	$1,485.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.69 / $735.35 / $1,125.79	Professional		$463.69	$735.35	$1,125.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.74 / $1,340.29 / $14,396.24	Facility		$795.74	$1,340.29	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $1,136.08 / $6,832.27	Professional		$563.35	$1,136.08	$6,832.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,456.53 / $5,383.60	Facility		$792.00	$1,456.53	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $1,113.60 / $1,456.53	Professional		$724.00	$1,113.60	$1,456.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $903.40 / $1,379.50	Professional		$5.00	$903.40	$1,379.50
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 $539.88 / $967.09 / $1,528.23	Professional		$539.88	$967.09	$1,528.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $958.90 / $1,128.09	Professional		$958.90	$958.90	$1,128.09