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 $429.34 / $683.57 / $683.57	Professional		$429.34	$683.57	$683.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.91 / $1,155.41 / $1,296.23	Professional		$1,018.91	$1,155.41	$1,296.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.90 / $811.53 / $1,331.89	Professional		$434.90	$811.53	$1,331.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.57 / $1,237.03 / $12,000.00	Facility		$695.57	$1,237.03	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.97 / $1,111.10 / $3,476.56	Professional		$606.97	$1,111.10	$3,476.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $1,428.69 / $4,818.76	Facility		$834.00	$1,428.69	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $739.08 / $1,018.91 / $1,428.69	Professional		$739.08	$1,018.91	$1,428.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $858.60 / $1,151.70	Professional		$6.00	$858.60	$1,151.70
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 $527.97 / $974.39 / $1,494.51	Professional		$527.97	$974.39	$1,494.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $898.40 / $898.40 / $1,057.00	Professional		$898.40	$898.40	$1,057.00