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 $467.46 / $806.27 / $806.27	Professional		$467.46	$806.27	$806.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.30 / $1,266.64 / $1,449.13	Professional		$1,018.30	$1,266.64	$1,449.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $744.58 / $1,208.08	Professional		$483.14	$744.58	$1,208.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.00 / $1,366.52 / $8,723.79	Facility		$763.00	$1,366.52	$8,723.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.32 / $1,166.27 / $3,822.64	Professional		$578.32	$1,166.27	$3,822.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $763.00 / $1,497.61 / $2,865.45	Facility		$763.00	$1,497.61	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $752.72 / $1,145.02 / $1,497.61	Professional		$752.72	$1,145.02	$1,497.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $920.40 / $1,344.40	Professional		$6.00	$920.40	$1,344.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.19 / $1,022.85 / $1,568.83	Professional		$542.19	$1,022.85	$1,568.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,006.20 / $1,183.80	Professional		$1,006.20	$1,006.20	$1,183.80