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 $447.00 / $706.14 / $706.14	Professional		$447.00	$706.14	$706.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.71 / $1,171.83 / $1,372.19	Professional		$923.71	$1,171.83	$1,372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $640.54 / $1,093.58	Professional		$423.90	$640.54	$1,093.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.32 / $1,212.06 / $14,396.24	Facility		$702.32	$1,212.06	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.66 / $1,033.86 / $3,553.68	Professional		$512.66	$1,033.86	$3,553.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $1,323.61 / $5,383.60	Facility		$694.00	$1,323.61	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.00 / $1,011.98 / $1,323.61	Professional		$635.00	$1,011.98	$1,323.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $829.80 / $1,278.59	Professional		$5.00	$829.80	$1,278.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.30 / $880.07 / $1,390.73	Professional		$491.30	$880.07	$1,390.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.20 / $881.20 / $1,036.80	Professional		$881.20	$881.20	$1,036.80