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 $513.32 / $817.14 / $817.14	Professional		$513.32	$817.14	$817.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.86 / $1,379.56 / $1,547.49	Professional		$1,216.86	$1,379.56	$1,547.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.64 / $975.49 / $1,601.16	Professional		$519.64	$975.49	$1,601.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.96 / $1,575.11 / $7,735.80	Facility		$1,030.96	$1,575.11	$7,735.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $1,329.16 / $4,150.80	Professional		$732.60	$1,329.16	$4,150.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,706.09 / $3,170.91	Facility		$1,003.00	$1,706.09	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,216.86 / $1,706.09	Professional		$886.00	$1,216.86	$1,706.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $984.70 / $1,374.60	Professional		$7.00	$984.70	$1,374.60
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 $658.81 / $1,165.22 / $1,787.19	Professional		$658.81	$1,165.22	$1,787.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,073.00 / $1,073.00 / $1,262.40	Professional		$1,073.00	$1,073.00	$1,262.40