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 $574.55 / $686.94 / $879.66	Professional		$574.55	$686.94	$879.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,395.23 / $1,572.81	Professional		$1,135.33	$1,395.23	$1,572.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.58 / $915.23 / $1,398.99	Professional		$519.58	$915.23	$1,398.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.07 / $1,463.27 / $11,072.12	Facility		$978.07	$1,463.27	$11,072.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.67 / $1,278.75 / $5,263.72	Professional		$670.67	$1,278.75	$5,263.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $1,639.51 / $4,164.35	Facility		$903.00	$1,639.51	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $818.52 / $1,237.97 / $1,639.51	Professional		$818.52	$1,237.97	$1,639.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $931.10 / $1,444.30	Professional		$6.00	$931.10	$1,444.30
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 $621.36 / $988.13 / $1,720.13	Professional		$621.36	$988.13	$1,720.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,072.40 / $1,072.40 / $1,261.59	Professional		$1,072.40	$1,072.40	$1,261.59