Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.75 / $6,446.00 / $11,611.47	Facility		$1,476.75	$6,446.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.35 / $741.08 / $2,492.00	Professional		$520.35	$741.08	$2,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.97 / $1,226.00 / $1,376.34	Professional		$1,096.97	$1,226.00	$1,376.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $470.15 / $835.57 / $1,424.44	Professional		$470.15	$835.57	$1,424.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.74 / $1,976.03 / $26,876.61	Facility		$987.74	$1,976.03	$26,876.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $1,172.68 / $2,086.37	Professional		$590.00	$1,172.68	$2,086.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,533.80 / $15,379.42	Facility		$875.00	$1,533.80	$15,379.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $780.05 / $1,113.53 / $1,533.80	Professional		$780.05	$1,113.53	$1,533.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.58 / $915.54 / $15,846.07	Professional		$504.58	$915.54	$15,846.07
United Facility/Professional Facility Modifier Low / Median / High Price $12,198.00 / $18,164.52 / $26,782.00	Facility		$12,198.00	$18,164.52	$26,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.54 / $1,170.55 / $1,624.91	Professional		$564.54	$1,170.55	$1,624.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $806.51 / $1,020.90 / $1,201.00	Professional		$806.51	$1,020.90	$1,201.00