Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.52 / $657.41 / $657.41	Professional		$238.52	$657.41	$657.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.88 / $992.57 / $1,240.72	Professional		$629.88	$992.57	$1,240.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.44 / $539.26 / $790.70	Professional		$414.44	$539.26	$790.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.70 / $988.59 / $13,960.05	Facility		$477.70	$988.59	$13,960.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.09 / $930.04 / $3,321.36	Professional		$436.09	$930.04	$3,321.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $334.63 / $859.88 / $1,357.79	Facility		$334.63	$859.88	$1,357.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.09 / $859.88 / $1,200.99	Professional		$436.09	$859.88	$1,200.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $495.90 / $1,118.00	Professional		$6.00	$495.90	$1,118.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.34 / $805.52 / $1,402.25	Professional		$370.34	$805.52	$1,402.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $828.20 / $828.20 / $974.40	Professional		$828.20	$828.20	$974.40