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 $534.59 / $849.23 / $849.23	Professional		$534.59	$849.23	$849.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.78 / $1,441.27 / $1,640.01	Professional		$1,203.78	$1,441.27	$1,640.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.29 / $861.88 / $1,548.02	Professional		$538.29	$861.88	$1,548.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,044.48 / $1,605.47 / $8,586.74	Facility		$1,044.48	$1,605.47	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.81 / $1,357.18 / $9,677.00	Professional		$723.81	$1,357.18	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $1,773.86 / $3,170.91	Facility		$979.00	$1,773.86	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $899.04 / $1,275.82 / $1,773.86	Professional		$899.04	$1,275.82	$1,773.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,003.90 / $1,449.80	Professional		$5.00	$1,003.90	$1,449.80
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 $644.94 / $1,155.29 / $1,825.64	Professional		$644.94	$1,155.29	$1,825.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,125.00 / $1,323.50	Professional		$1,125.00	$1,125.00	$1,323.50