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 $251.86 / $402.33 / $402.33	Professional		$251.86	$402.33	$402.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $719.56 / $5,493.25	Professional		$608.16	$719.56	$5,493.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.51 / $442.26 / $3,842.51	Professional		$218.51	$442.26	$3,842.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.33 / $2,126.00 / $6,608.00	Facility		$402.33	$2,126.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $560.87 / $5,525.76	Professional		$285.35	$560.87	$5,525.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.53 / $608.16 / $870.76	Facility		$348.53	$608.16	$870.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $608.16 / $4,321.14	Professional		$353.67	$608.16	$4,321.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $290.30 / $290.30	Professional		$290.30	$290.30	$290.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $503.75 / $728.03	Professional		$263.94	$503.75	$728.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,791.80 / $3,791.80 / $4,460.89	Professional		$3,791.80	$3,791.80	$4,460.89