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 $343.06 / $486.64 / $1,953.90	Professional		$343.06	$486.64	$1,953.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $811.04 / $1,144.78	Professional		$363.74	$811.04	$1,144.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.11 / $617.22 / $1,609.46	Professional		$350.11	$617.22	$1,609.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $966.66 / $14,812.97	Facility		$583.20	$966.66	$14,812.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $442.27 / $860.27 / $2,754.33	Professional		$442.27	$860.27	$2,754.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.02 / $1,102.32 / $11,879.30	Facility		$684.02	$1,102.32	$11,879.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $659.70 / $860.27 / $1,129.40	Professional		$659.70	$860.27	$1,129.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $728.30 / $894.60	Professional		$4.00	$728.30	$894.60
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 $405.42 / $669.22 / $1,199.77	Professional		$405.42	$669.22	$1,199.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $562.72 / $712.30 / $838.00	Professional		$562.72	$712.30	$838.00