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 $423.33 / $673.78 / $673.78	Professional		$423.33	$673.78	$673.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.10 / $1,139.39 / $1,278.70	Professional		$1,005.10	$1,139.39	$1,278.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.97 / $801.38 / $1,316.42	Professional		$428.97	$801.38	$1,316.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.69 / $1,219.00 / $12,000.00	Facility		$687.69	$1,219.00	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.04 / $1,096.25 / $3,428.32	Professional		$602.04	$1,096.25	$3,428.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,407.82 / $4,818.76	Facility		$819.00	$1,407.82	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.02 / $1,005.10 / $1,407.82	Professional		$729.02	$1,005.10	$1,407.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $830.80 / $1,134.90	Professional		$6.00	$830.80	$1,134.90
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 $543.32 / $932.71 / $1,473.90	Professional		$543.32	$932.71	$1,473.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $886.30 / $886.30 / $1,042.70	Professional		$886.30	$886.30	$1,042.70