Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.79 / $688.53 / $688.53	Professional		$433.79	$688.53	$688.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.03 / $1,171.22 / $1,337.13	Professional		$961.03	$1,171.22	$1,337.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $725.41 / $1,244.45	Professional		$435.33	$725.41	$1,244.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $1,297.64 / $8,586.74	Facility		$834.00	$1,297.64	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $1,095.53 / $8,295.00	Professional		$581.88	$1,095.53	$8,295.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,430.87 / $3,170.91	Facility		$785.00	$1,430.87	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $727.82 / $1,035.65 / $1,414.93	Professional		$727.82	$1,035.65	$1,414.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $819.60 / $1,181.20	Professional		$6.00	$819.60	$1,181.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $1,044.93 / $1,473.67	Professional		$530.00	$1,044.93	$1,473.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $913.20 / $913.20 / $1,074.40	Professional		$913.20	$913.20	$1,074.40