Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.89 / $889.74 / $3,367.43	Professional		$578.89	$889.74	$3,367.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.90 / $1,417.18 / $1,771.48	Professional		$634.90	$1,417.18	$1,771.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $621.69 / $979.23 / $2,711.26	Professional		$621.69	$979.23	$2,711.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.35 / $1,442.50 / $15,086.34	Facility		$787.35	$1,442.50	$15,086.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.31 / $1,393.20 / $4,738.72	Professional		$733.31	$1,393.20	$4,738.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,166.08 / $1,894.01 / $12,655.75	Facility		$1,166.08	$1,894.01	$12,655.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,442.50 / $2,032.50	Professional		$1,072.00	$1,442.50	$2,032.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,653.60	Professional		$7.00	$7.00	$1,653.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.67 / $1,071.16 / $1,989.28	Professional		$681.67	$1,071.16	$1,989.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,004.80 / $1,271.90 / $1,496.40	Professional		$1,004.80	$1,271.90	$1,496.40