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 $602.54 / $817.97 / $817.97	Professional		$602.54	$817.97	$817.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.05 / $1,389.31 / $1,582.55	Professional		$1,200.05	$1,389.31	$1,582.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $518.19 / $856.73 / $1,502.92	Professional		$518.19	$856.73	$1,502.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.97 / $1,485.63 / $12,371.41	Facility		$817.97	$1,485.63	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $702.73 / $1,305.20 / $4,183.20	Professional		$702.73	$1,305.20	$4,183.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,706.09 / $4,818.76	Facility		$952.00	$1,706.09	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $871.00 / $1,229.24 / $1,706.09	Professional		$871.00	$1,229.24	$1,706.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $965.80 / $1,395.90	Professional		$3.00	$965.80	$1,395.90
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 $647.21 / $1,302.50 / $1,755.71	Professional		$647.21	$1,302.50	$1,755.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,083.90 / $1,083.90 / $1,275.20	Professional		$1,083.90	$1,083.90	$1,275.20