Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $12,581.00	Facility		$5,012.00	$6,298.62	$12,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $709.79 / $709.79	Professional		$434.92	$709.79	$709.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.75 / $1,069.99 / $1,220.27	Professional		$908.75	$1,069.99	$1,220.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.71 / $647.29 / $1,331.48	Professional		$398.71	$647.29	$1,331.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.60 / $1,188.58 / $14,525.55	Facility		$758.60	$1,188.58	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $530.28 / $1,003.77 / $3,221.84	Professional		$530.28	$1,003.77	$3,221.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,313.12 / $5,275.65	Facility		$723.00	$1,313.12	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $662.00 / $946.87 / $1,313.12	Professional		$662.00	$946.87	$1,313.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $745.50 / $1,076.90	Professional		$6.00	$745.50	$1,076.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $926.72 / $1,350.23	Professional		$477.00	$926.72	$1,350.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $820.20 / $965.00	Professional		$820.20	$820.20	$965.00