Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $741.75 / $1,171.70	Professional		$548.12	$741.75	$1,171.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.52 / $1,806.85 / $4,317.14	Professional		$664.52	$1,806.85	$4,317.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.44 / $1,584.31 / $2,773.28	Professional		$477.44	$1,584.31	$2,773.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.13 / $1,721.67 / $6,572.00	Facility		$781.13	$1,721.67	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.89 / $1,005.91 / $5,193.35	Professional		$469.89	$1,005.91	$5,193.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $586.25 / $1,286.06 / $2,086.71	Facility		$586.25	$1,286.06	$2,086.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.72 / $1,625.67 / $3,402.25	Professional		$674.72	$1,625.67	$3,402.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $924.20	Professional		$7.00	$7.00	$924.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.21 / $783.68 / $1,639.49	Professional		$442.21	$783.68	$1,639.49
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