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 $447.56 / $710.82 / $710.82	Professional		$447.56	$710.82	$710.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.69 / $1,208.10 / $1,376.09	Professional		$1,045.69	$1,208.10	$1,376.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $451.05 / $749.25 / $1,308.94	Professional		$451.05	$749.25	$1,308.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.82 / $1,291.06 / $12,371.41	Facility		$710.82	$1,291.06	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.02 / $1,136.86 / $4,505.85	Professional		$612.02	$1,136.86	$4,505.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,484.99 / $4,818.76	Facility		$830.00	$1,484.99	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,069.84 / $1,484.99	Professional		$760.00	$1,069.84	$1,484.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $844.30 / $1,214.50	Professional		$3.00	$844.30	$1,214.50
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 $556.40 / $967.75 / $1,529.27	Professional		$556.40	$967.75	$1,529.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $943.40 / $943.40 / $1,109.80	Professional		$943.40	$943.40	$1,109.80