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 $523.59 / $937.54 / $937.54	Professional		$523.59	$937.54	$937.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.78 / $1,412.53 / $1,606.89	Professional		$1,203.78	$1,412.53	$1,606.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $526.45 / $885.29 / $1,520.95	Professional		$526.45	$885.29	$1,520.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $937.54 / $1,509.65 / $8,586.74	Facility		$937.54	$1,509.65	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.16 / $1,327.49 / $5,128.33	Professional		$711.16	$1,327.49	$5,128.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,736.26 / $3,170.91	Facility		$960.00	$1,736.26	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $879.27 / $1,248.17 / $1,736.26	Professional		$879.27	$1,248.17	$1,736.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $981.50 / $1,421.30	Professional		$3.00	$981.50	$1,421.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,382.33 / $6,608.00 / $8,953.00	Facility		$4,382.33	$6,608.00	$8,953.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.04 / $1,269.55 / $1,919.98	Professional		$659.04	$1,269.55	$1,919.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,081.20 / $1,081.20 / $1,272.00	Professional		$1,081.20	$1,081.20	$1,272.00