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 $484.28 / $711.37 / $711.37	Professional		$484.28	$711.37	$711.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.01 / $1,071.54 / $1,222.21	Professional		$910.01	$1,071.54	$1,222.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.24 / $648.48 / $1,146.02	Professional		$399.24	$648.48	$1,146.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $784.48 / $1,194.11 / $15,184.94	Facility		$784.48	$1,194.11	$15,184.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.85 / $1,006.87 / $3,226.56	Professional		$535.85	$1,006.87	$3,226.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $1,318.14 / $7,258.66	Facility		$726.00	$1,318.14	$7,258.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.62 / $948.31 / $1,318.14	Professional		$668.62	$948.31	$1,318.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $749.50 / $1,079.80	Professional		$6.00	$749.50	$1,079.80
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 $478.47 / $916.58 / $1,354.40	Professional		$478.47	$916.58	$1,354.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $821.50 / $821.50 / $966.40	Professional		$821.50	$821.50	$966.40