Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $877.73 / $877.73	Professional		$490.29	$877.73	$877.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.52 / $1,322.84 / $1,506.58	Professional		$1,146.52	$1,322.84	$1,506.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.10 / $817.13 / $1,451.71	Professional		$493.10	$817.13	$1,451.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $877.73 / $1,413.57 / $12,371.41	Facility		$877.73	$1,413.57	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $1,246.15 / $3,983.12	Professional		$678.78	$1,246.15	$3,983.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,626.84 / $4,818.76	Facility		$927.00	$1,626.84	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $849.00 / $1,170.29 / $1,626.84	Professional		$849.00	$1,170.29	$1,626.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $925.30 / $1,331.80	Professional		$3.00	$925.30	$1,331.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.17 / $1,011.71 / $1,676.28	Professional		$592.17	$1,011.71	$1,676.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,013.80 / $1,013.80 / $1,192.70	Professional		$1,013.80	$1,013.80	$1,192.70