Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.44 / $703.82 / $755.13	Professional		$422.44	$703.82	$755.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.76 / $1,114.73 / $1,310.84	Professional		$941.76	$1,114.73	$1,310.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.70 / $676.15 / $1,212.61	Professional		$395.70	$676.15	$1,212.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.50 / $1,159.73 / $7,123.00	Facility		$811.50	$1,159.73	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.77 / $1,114.73 / $3,962.57	Professional		$585.77	$1,114.73	$3,962.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $1,140.71 / $2,256.42	Facility		$772.00	$1,140.71	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $1,010.90 / $1,304.57	Professional		$772.00	$1,010.90	$1,304.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $803.80 / $1,157.90	Professional		$3.00	$803.80	$1,157.90
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 $525.25 / $993.60 / $1,424.88	Professional		$525.25	$993.60	$1,424.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $815.80 / $875.70 / $1,030.20	Professional		$815.80	$875.70	$1,030.20