Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.87 / $676.49 / $676.49	Professional		$514.87	$676.49	$676.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.93 / $1,378.29 / $1,577.68	Professional		$1,107.93	$1,378.29	$1,577.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.71 / $791.14 / $1,399.11	Professional		$512.71	$791.14	$1,399.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.82 / $1,384.50 / $7,091.00	Facility		$715.82	$1,384.50	$7,091.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.91 / $1,271.42 / $7,983.09	Professional		$669.91	$1,271.42	$7,983.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $812.87 / $1,221.23 / $1,634.82	Facility		$812.87	$1,221.23	$1,634.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.87 / $1,221.23 / $1,634.31	Professional		$812.87	$1,221.23	$1,634.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $909.60 / $1,410.20	Professional		$4.00	$909.60	$1,410.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.91 / $1,082.28 / $1,710.27	Professional		$623.91	$1,082.28	$1,710.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,057.90 / $1,057.90 / $1,244.59	Professional		$1,057.90	$1,057.90	$1,244.59