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 $583.84 / $897.55 / $3,394.57	Professional		$583.84	$897.55	$3,394.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.90 / $1,431.21 / $1,789.01	Professional		$634.90	$1,431.21	$1,789.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $610.67 / $998.38 / $2,102.87	Professional		$610.67	$998.38	$2,102.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.74 / $1,463.01 / $12,039.19	Facility		$914.74	$1,463.01	$12,039.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.84 / $1,406.73 / $5,333.07	Professional		$728.84	$1,406.73	$5,333.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $971.19 / $1,455.59 / $2,049.16	Facility		$971.19	$1,455.59	$2,049.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $949.00 / $1,455.59 / $1,913.49	Professional		$949.00	$1,455.59	$1,913.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,167.50 / $1,668.50	Professional		$7.00	$1,167.50	$1,668.50
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 $677.24 / $1,015.17 / $2,004.19	Professional		$677.24	$1,015.17	$2,004.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,013.97 / $1,283.50 / $1,510.00	Professional		$1,013.97	$1,283.50	$1,510.00