Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.17 / $710.25 / $710.25	Professional		$446.17	$710.25	$710.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,200.91 / $1,347.84	Professional		$1,058.22	$1,200.91	$1,347.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $769.83 / $1,385.54	Professional		$451.72	$769.83	$1,385.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $1,277.21 / $7,735.80	Facility		$724.83	$1,277.21	$7,735.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.23 / $1,155.01 / $3,613.44	Professional		$636.23	$1,155.01	$3,613.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,482.91 / $3,170.91	Facility		$871.00	$1,482.91	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,058.22 / $1,482.91	Professional		$769.58	$1,058.22	$1,482.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $838.10 / $1,195.30	Professional		$7.00	$838.10	$1,195.30
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 $548.71 / $982.91 / $1,553.23	Professional		$548.71	$982.91	$1,553.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.10 / $933.10 / $1,097.80	Professional		$933.10	$933.10	$1,097.80