Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.29 / $852.36 / $852.36	Professional		$695.29	$852.36	$852.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.46 / $1,445.64 / $1,641.95	Professional		$1,279.46	$1,445.64	$1,641.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.53 / $958.30 / $1,451.88	Professional		$540.53	$958.30	$1,451.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.01 / $1,526.71 / $12,013.25	Facility		$1,122.01	$1,526.71	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $740.32 / $1,364.32 / $5,164.00	Professional		$740.32	$1,364.32	$5,164.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.97 / $1,329.52 / $1,781.14	Facility		$905.97	$1,329.52	$1,781.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $931.00 / $1,279.46 / $1,781.14	Professional		$931.00	$1,279.46	$1,781.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,108.59 / $1,453.60	Professional		$6.00	$1,108.59	$1,453.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $648.34 / $1,279.20 / $1,835.24	Professional		$648.34	$1,279.20	$1,835.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,128.20 / $1,128.20 / $1,327.30	Professional		$1,128.20	$1,128.20	$1,327.30