Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $6,446.00	Facility		$2,234.00	$3,795.64	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $4,047.92 / $7,654.29	Professional		$181.88	$4,047.92	$7,654.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $5,952.65 / $8,135.75	Professional		$369.29	$5,952.65	$8,135.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.43 / $3,528.93 / $5,767.85	Professional		$205.43	$3,528.93	$5,767.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.35 / $6,178.77 / $13,055.54	Facility		$357.35	$6,178.77	$13,055.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.56 / $6,912.00 / $13,532.43	Professional		$433.56	$6,912.00	$13,532.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.31 / $6,178.77 / $9,173.86	Facility		$387.31	$6,178.77	$9,173.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $357.35 / $5,952.65 / $8,510.58	Professional		$357.35	$5,952.65	$8,510.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5,130.39 / $8,256.90	Professional		$5.00	$5,130.39	$8,256.90
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 $3,284.63 / $6,080.80 / $9,297.79	Professional		$3,284.63	$6,080.80	$9,297.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.50 / $364.20 / $6,066.40	Professional		$309.50	$364.20	$6,066.40