Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.01 / $939.23 / $1,912.02	Professional		$582.01	$939.23	$1,912.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.34 / $1,414.24 / $1,609.82	Professional		$1,250.34	$1,414.24	$1,609.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $527.34 / $901.20 / $1,563.71	Professional		$527.34	$901.20	$1,563.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,091.74 / $1,582.01 / $9,388.90	Facility		$1,091.74	$1,582.01	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $731.15 / $1,333.90 / $5,158.00	Professional		$731.15	$1,333.90	$5,158.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $1,741.52 / $3,170.91	Facility		$1,002.00	$1,741.52	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,250.34 / $1,741.52	Professional		$916.00	$1,250.34	$1,741.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $989.20 / $1,424.00	Professional		$3.00	$989.20	$1,424.00
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 $645.59 / $1,135.47 / $1,794.32	Professional		$645.59	$1,135.47	$1,794.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,083.09 / $1,083.09 / $1,274.20	Professional		$1,083.09	$1,083.09	$1,274.20