Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.90 / $982.78 / $982.78	Professional		$548.90	$982.78	$982.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.26 / $1,480.60 / $1,687.73	Professional		$1,206.26	$1,480.60	$1,687.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $860.83 / $1,567.96	Professional		$552.61	$860.83	$1,567.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,634.63 / $8,586.74	Facility		$953.00	$1,634.63	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.14 / $1,390.85 / $4,458.16	Professional		$733.14	$1,390.85	$4,458.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $1,778.02 / $3,170.91	Facility		$993.00	$1,778.02	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $974.00 / $1,311.48 / $1,778.02	Professional		$974.00	$1,311.48	$1,778.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,031.70 / $1,489.30	Professional		$3.00	$1,031.70	$1,489.30
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 $660.94 / $1,183.94 / $1,870.92	Professional		$660.94	$1,183.94	$1,870.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,136.09 / $1,136.09 / $1,336.50	Professional		$1,136.09	$1,136.09	$1,336.50