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 $408.05 / $559.57 / $951.56	Professional		$408.05	$559.57	$951.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $1,507.96 / $4,317.14	Professional		$592.57	$1,507.96	$4,317.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.38 / $1,821.94 / $3,022.33	Professional		$318.38	$1,821.94	$3,022.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.92 / $1,465.40 / $15,085.17	Facility		$621.92	$1,465.40	$15,085.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.21 / $924.96 / $4,219.60	Professional		$442.21	$924.96	$4,219.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $586.25 / $1,159.09 / $1,797.85	Facility		$586.25	$1,159.09	$1,797.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $592.57 / $1,320.95 / $3,388.49	Professional		$592.57	$1,320.95	$3,388.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $717.20	Professional		$7.00	$7.00	$717.20
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 $423.79 / $759.13 / $1,261.55	Professional		$423.79	$759.13	$1,261.55
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