Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.85 / $838.21 / $838.21	Professional		$526.85	$838.21	$838.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.34 / $1,417.37 / $1,595.21	Professional		$1,250.34	$1,417.37	$1,595.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $532.25 / $938.88 / $1,952.11	Professional		$532.25	$938.88	$1,952.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $885.78 / $1,506.08 / $20,740.72	Facility		$885.78	$1,506.08	$20,740.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.76 / $1,363.17 / $4,265.28	Professional		$750.76	$1,363.17	$4,265.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,749.87 / $8,958.90	Facility		$1,034.00	$1,749.87	$8,958.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $1,250.34 / $1,749.87	Professional		$906.70	$1,250.34	$1,749.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,090.09 / $1,415.10	Professional		$7.00	$1,090.09	$1,415.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $1,054.42 / $1,830.85	Professional		$674.90	$1,054.42	$1,830.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,102.50 / $1,102.50 / $1,297.09	Professional		$1,102.50	$1,102.50	$1,297.09