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 $635.96 / $969.38 / $1,380.19	Professional		$635.96	$969.38	$1,380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.66 / $1,457.82 / $1,656.56	Professional		$1,289.66	$1,457.82	$1,656.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $944.49 / $1,993.48	Professional		$544.91	$944.49	$1,993.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.38 / $1,560.09 / $8,586.74	Facility		$969.38	$1,560.09	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.59 / $1,381.34 / $4,388.72	Professional		$742.59	$1,381.34	$4,388.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,795.76 / $3,170.91	Facility		$1,032.00	$1,795.76	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,289.66 / $1,795.76	Professional		$927.00	$1,289.66	$1,795.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,050.00 / $1,465.30	Professional		$3.00	$1,050.00	$1,465.30
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 $656.42 / $1,295.72 / $1,858.13	Professional		$656.42	$1,295.72	$1,858.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,117.09 / $1,117.09 / $1,314.30	Professional		$1,117.09	$1,117.09	$1,314.30