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 $511.99 / $815.06 / $815.06	Professional		$511.99	$815.06	$815.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.97 / $1,375.67 / $1,543.59	Professional		$1,213.97	$1,375.67	$1,543.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $969.27 / $1,590.84	Professional		$518.38	$969.27	$1,590.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.49 / $1,570.98 / $20,740.72	Facility		$1,089.49	$1,570.98	$20,740.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.70 / $1,325.74 / $4,139.04	Professional		$730.70	$1,325.74	$4,139.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.00 / $1,701.90 / $8,863.74	Facility		$1,001.00	$1,701.90	$8,863.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $881.56 / $1,213.97 / $1,701.90	Professional		$881.56	$1,213.97	$1,701.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,040.40 / $1,371.20	Professional		$7.00	$1,040.40	$1,371.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.12 / $1,165.15 / $1,782.60	Professional		$657.12	$1,165.15	$1,782.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,070.40 / $1,070.40 / $1,259.30	Professional		$1,070.40	$1,070.40	$1,259.30