Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.52 / $895.63 / $895.63	Professional		$494.52	$895.63	$895.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.30 / $1,340.85 / $1,518.27	Professional		$1,079.30	$1,340.85	$1,518.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $515.49 / $811.40 / $1,279.28	Professional		$515.49	$811.40	$1,279.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $904.23 / $1,524.83 / $9,558.29	Facility		$904.23	$1,524.83	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.42 / $1,255.23 / $4,045.76	Professional		$622.42	$1,255.23	$4,045.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $836.00 / $1,617.43 / $3,162.53	Facility		$836.00	$1,617.43	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $1,231.43 / $1,590.71	Professional		$790.00	$1,231.43	$1,590.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $961.50 / $1,414.70	Professional		$6.00	$961.50	$1,414.70
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 $596.49 / $1,185.01 / $1,688.49	Professional		$596.49	$1,185.01	$1,688.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,066.70 / $1,066.70 / $1,255.00	Professional		$1,066.70	$1,066.70	$1,255.00