Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $2,736.01 / $4,841.09	Professional		$230.93	$2,736.01	$4,841.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $6,428.63 / $8,778.69	Professional		$556.04	$6,428.63	$8,778.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $3,823.50 / $11,313.54	Professional		$322.27	$3,823.50	$11,313.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.35 / $5,897.00 / $12,814.12	Facility		$576.35	$5,897.00	$12,814.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.57 / $8,098.99 / $18,799.82	Professional		$684.57	$8,098.99	$18,799.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $589.76 / $5,006.49 / $8,778.69	Facility		$589.76	$5,006.49	$8,778.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $6,428.63 / $9,563.35	Professional		$556.04	$6,428.63	$9,563.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $9,054.79	Professional		$5.00	$5.00	$9,054.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,036.00 / $10,030.96 / $17,777.98	Facility		$6,036.00	$10,030.96	$17,777.98
United Facility/Professional Professional Modifier Low / Median / High Price $4,016.03 / $7,103.01 / $10,894.48	Professional		$4,016.03	$7,103.01	$10,894.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $470.80 / $553.90 / $6,403.90	Professional		$470.80	$553.90	$6,403.90