Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.54 / $669.34 / $1,042.36	Professional		$441.54	$669.34	$1,042.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.79 / $1,172.66 / $1,299.98	Professional		$991.79	$1,172.66	$1,299.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $438.79 / $743.91 / $1,390.70	Professional		$438.79	$743.91	$1,390.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.74 / $1,261.05 / $21,950.56	Facility		$804.74	$1,261.05	$21,950.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.97 / $1,086.41 / $3,394.08	Professional		$595.97	$1,086.41	$3,394.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $718.34 / $1,071.36 / $1,392.00	Facility		$718.34	$1,071.36	$1,392.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $1,058.01 / $1,392.00	Professional		$781.00	$1,058.01	$1,392.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $851.40 / $1,168.70	Professional		$11.00	$851.40	$1,168.70
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 $536.40 / $924.80 / $1,461.40	Professional		$536.40	$924.80	$1,461.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $872.00 / $1,025.90	Professional		$872.00	$872.00	$1,025.90