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 $501.24 / $798.66 / $798.66	Professional		$501.24	$798.66	$798.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.22 / $1,348.19 / $1,507.56	Professional		$1,189.22	$1,348.19	$1,507.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $503.89 / $885.34 / $1,666.31	Professional		$503.89	$885.34	$1,666.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.38 / $1,458.00 / $14,595.02	Facility		$846.38	$1,458.00	$14,595.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.26 / $1,271.75 / $4,976.00	Professional		$669.26	$1,271.75	$4,976.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $1,650.91 / $4,487.09	Facility		$971.00	$1,650.91	$4,487.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $844.73 / $1,189.22 / $1,675.83	Professional		$844.73	$1,189.22	$1,675.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,072.09 / $1,360.70	Professional		$6.00	$1,072.09	$1,360.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.09 / $1,211.73 / $1,704.34	Professional		$602.09	$1,211.73	$1,704.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,184.70	Professional		$1,007.00	$1,007.00	$1,184.70