Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.40 / $824.51 / $824.51	Professional		$460.40	$824.51	$824.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.25 / $1,242.08 / $1,412.12	Professional		$1,098.25	$1,242.08	$1,412.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $822.70 / $1,362.10	Professional		$463.54	$822.70	$1,362.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.25 / $1,383.24 / $8,586.74	Facility		$965.25	$1,383.24	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.89 / $1,170.43 / $7,500.00	Professional		$636.89	$1,170.43	$7,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,526.72 / $3,170.91	Facility		$871.00	$1,526.72	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $797.00 / $1,098.25 / $1,526.72	Professional		$797.00	$1,098.25	$1,526.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $863.40 / $1,247.20	Professional		$3.00	$863.40	$1,247.20
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 $556.20 / $996.32 / $1,574.43	Professional		$556.20	$996.32	$1,574.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $951.30 / $951.30 / $1,119.20	Professional		$951.30	$951.30	$1,119.20