Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.14 / $860.98 / $3,229.78	Professional		$565.14	$860.98	$3,229.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.92 / $1,379.79 / $1,724.73	Professional		$571.92	$1,379.79	$1,724.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $903.00 / $2,062.56	Professional		$555.20	$903.00	$2,062.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.12 / $1,423.35 / $7,909.30	Facility		$808.12	$1,423.35	$7,909.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $698.94 / $1,352.95 / $5,901.04	Professional		$698.94	$1,352.95	$5,901.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $1,619.17 / $2,571.84	Facility		$1,062.00	$1,619.17	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $1,335.51 / $1,858.46	Professional		$972.00	$1,335.51	$1,858.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,172.09 / $1,568.40	Professional		$5.00	$1,172.09	$1,568.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.15 / $1,018.05 / $1,896.05	Professional		$636.15	$1,018.05	$1,896.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $930.30 / $1,177.59 / $1,385.40	Professional		$930.30	$1,177.59	$1,385.40