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 $552.99 / $811.44 / $811.44	Professional		$552.99	$811.44	$811.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.13 / $1,222.28 / $1,391.67	Professional		$1,058.13	$1,222.28	$1,391.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $456.19 / $757.68 / $1,315.75	Professional		$456.19	$757.68	$1,315.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.39 / $1,366.67 / $9,558.29	Facility		$864.39	$1,366.67	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.22 / $1,152.41 / $4,194.54	Professional		$615.22	$1,152.41	$4,194.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $1,502.74 / $3,162.53	Facility		$838.00	$1,502.74	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.87 / $1,081.51 / $1,502.74	Professional		$768.87	$1,081.51	$1,502.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $854.70 / $1,228.40	Professional		$4.00	$854.70	$1,228.40
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 $547.76 / $981.20 / $1,550.53	Professional		$547.76	$981.20	$1,550.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $936.80 / $936.80 / $1,102.20	Professional		$936.80	$936.80	$1,102.20