Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.17 / $597.29 / $1,016.04	Professional		$491.17	$597.29	$1,016.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $2,418.91 / $4,317.14	Professional		$627.54	$2,418.91	$4,317.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.38 / $1,804.25 / $2,582.07	Professional		$318.38	$1,804.25	$2,582.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.96 / $1,866.12 / $25,732.46	Facility		$851.96	$1,866.12	$25,732.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,176.22 / $2,160.17 / $4,750.00	Professional		$1,176.22	$2,160.17	$4,750.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,226.11 / $1,574.69 / $2,799.84	Facility		$1,226.11	$1,574.69	$2,799.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,353.73 / $1,852.16 / $3,389.72	Professional		$1,353.73	$1,852.16	$3,389.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $1,014.80	Professional		$7.00	$7.00	$1,014.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $12,871.00 / $16,293.00	Facility		$1,770.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.06 / $1,935.12 / $3,777.81	Professional		$686.06	$1,935.12	$3,777.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,451.29 / $3,102.90 / $3,650.40	Professional		$2,451.29	$3,102.90	$3,650.40