Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.87 / $711.30 / $711.30	Professional		$447.87	$711.30	$711.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.09 / $1,208.93 / $1,377.06	Professional		$1,068.09	$1,208.93	$1,377.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.33 / $759.27 / $1,305.63	Professional		$451.33	$759.27	$1,305.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $1,291.06 / $8,586.74	Facility		$711.30	$1,291.06	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $610.48 / $1,137.67 / $4,505.85	Professional		$610.48	$1,137.67	$4,505.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $1,486.05 / $3,170.91	Facility		$835.00	$1,486.05	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $1,070.59 / $1,486.05	Professional		$764.00	$1,070.59	$1,486.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $844.90 / $1,215.40	Professional		$4.00	$844.90	$1,215.40
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 $554.79 / $879.11 / $1,530.35	Professional		$554.79	$879.11	$1,530.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $944.00 / $1,110.59	Professional		$944.00	$944.00	$1,110.59