Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.80 / $741.18 / $971.04	Professional		$571.80	$741.18	$971.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.43 / $1,467.99 / $1,714.02	Professional		$1,110.43	$1,467.99	$1,714.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $560.11 / $863.80 / $1,344.40	Professional		$560.11	$863.80	$1,344.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.71 / $1,569.58 / $8,342.00	Facility		$952.71	$1,569.58	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $674.27 / $1,359.77 / $4,558.56	Professional		$674.27	$1,359.77	$4,558.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $1,651.36 / $3,093.19	Facility		$882.00	$1,651.36	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,309.73 / $1,651.36	Professional		$812.00	$1,309.73	$1,651.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,006.70 / $1,583.00	Professional		$5.00	$1,006.70	$1,583.00
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 $646.16 / $1,202.96 / $1,829.12	Professional		$646.16	$1,202.96	$1,829.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,163.80 / $1,163.80 / $1,369.20	Professional		$1,163.80	$1,163.80	$1,369.20