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 $770.82 / $932.35 / $2,491.06	Professional		$770.82	$932.35	$2,491.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.29 / $1,581.32 / $1,798.75	Professional		$1,400.29	$1,581.32	$1,798.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $591.33 / $999.81 / $1,689.65	Professional		$591.33	$999.81	$1,689.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,037.71 / $1,706.56 / $14,198.40	Facility		$1,037.71	$1,706.56	$14,198.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.03 / $1,491.76 / $18,994.34	Professional		$790.03	$1,491.76	$18,994.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $1,948.00 / $5,275.65	Facility		$1,098.00	$1,948.00	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $991.12 / $1,400.29 / $1,948.00	Professional		$991.12	$1,400.29	$1,948.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,102.40 / $1,590.20	Professional		$6.00	$1,102.40	$1,590.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.07 / $1,269.84 / $2,006.66	Professional		$678.07	$1,269.84	$2,006.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,234.70 / $1,234.70 / $1,452.60	Professional		$1,234.70	$1,234.70	$1,452.60