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 $548.84 / $871.76 / $871.76	Professional		$548.84	$871.76	$871.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.99 / $1,479.00 / $1,682.86	Professional		$1,275.99	$1,479.00	$1,682.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.40 / $965.94 / $1,596.54	Professional		$552.40	$965.94	$1,596.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.83 / $1,649.64 / $8,586.74	Facility		$1,011.83	$1,649.64	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.51 / $1,393.68 / $9,677.00	Professional		$746.51	$1,393.68	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $1,820.78 / $3,170.91	Facility		$1,018.00	$1,820.78	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $932.00 / $1,309.30 / $1,820.78	Professional		$932.00	$1,309.30	$1,820.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,030.40 / $1,488.20	Professional		$6.00	$1,030.40	$1,488.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.29 / $1,186.34 / $1,874.73	Professional		$662.29	$1,186.34	$1,874.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,154.50 / $1,154.50 / $1,358.20	Professional		$1,154.50	$1,154.50	$1,358.20