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 $397.96 / $676.26 / $2,568.98	Professional		$397.96	$676.26	$2,568.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.30 / $1,078.83 / $1,206.63	Professional		$965.30	$1,078.83	$1,206.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.29 / $667.65 / $1,712.64	Professional		$436.29	$667.65	$1,712.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.26 / $1,390.12 / $25,201.32	Facility		$766.26	$1,390.12	$25,201.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.32 / $1,032.88 / $1,827.49	Professional		$546.32	$1,032.88	$1,827.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $937.64 / $1,395.30 / $13,502.63	Facility		$937.64	$1,395.30	$13,502.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.38 / $1,024.08 / $1,335.67	Professional		$758.38	$1,024.08	$1,335.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $815.99 / $15,499.71	Professional		$445.10	$815.99	$15,499.71
United Facility/Professional Facility Modifier Low / Median / High Price $10,398.00 / $15,622.00 / $65,894.00	Facility		$10,398.00	$15,622.00	$65,894.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $853.62 / $1,412.74	Professional		$512.16	$853.62	$1,412.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.61 / $899.50 / $1,058.20	Professional		$710.61	$899.50	$1,058.20