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 $457.19 / $600.42 / $1,003.10	Professional		$457.19	$600.42	$1,003.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $1,211.70 / $1,404.33	Professional		$971.00	$1,211.70	$1,404.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $454.18 / $691.15 / $1,228.52	Professional		$454.18	$691.15	$1,228.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.13 / $1,276.93 / $16,586.06	Facility		$835.13	$1,276.93	$16,586.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.22 / $1,122.57 / $5,058.97	Professional		$589.22	$1,122.57	$5,058.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $1,438.77 / $6,156.40	Facility		$784.00	$1,438.77	$6,156.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $714.92 / $1,084.41 / $1,430.37	Professional		$714.92	$1,084.41	$1,430.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $801.50 / $1,255.90	Professional		$4.00	$801.50	$1,255.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,379.00 / $11,530.63 / $18,991.04	Facility		$7,379.00	$11,530.63	$18,991.04
United Facility/Professional Professional Modifier Low / Median / High Price $533.45 / $984.52 / $1,510.04	Professional		$533.45	$984.52	$1,510.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $939.40 / $939.40 / $1,105.09	Professional		$939.40	$939.40	$1,105.09