Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.44 / $1,111.26 / $2,755.00	Professional		$641.44	$1,111.26	$2,755.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.74 / $1,576.90 / $1,971.12	Professional		$656.74	$1,576.90	$1,971.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $640.92 / $962.55 / $2,262.69	Professional		$640.92	$962.55	$2,262.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,600.49 / $6,306.00	Facility		$825.00	$1,600.49	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $764.78 / $1,527.38 / $5,181.28	Professional		$764.78	$1,527.38	$5,181.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $1,869.58 / $2,630.67	Facility		$1,042.00	$1,869.58	$2,630.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,533.47 / $1,987.10	Professional		$954.00	$1,533.47	$1,987.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,242.90 / $1,813.80	Professional		$5.00	$1,242.90	$1,813.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.69 / $1,125.21 / $2,178.77	Professional		$731.69	$1,125.21	$2,178.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,068.24 / $1,352.20 / $1,590.80	Professional		$1,068.24	$1,352.20	$1,590.80