Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $752.57 / $752.57	Professional		$570.00	$752.57	$752.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.34 / $1,528.11 / $1,720.84	Professional		$1,313.34	$1,528.11	$1,720.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.84 / $1,003.48 / $1,559.89	Professional		$570.84	$1,003.48	$1,559.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.73 / $1,625.31 / $11,051.00	Facility		$1,090.73	$1,625.31	$11,051.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.68 / $1,420.56 / $4,604.80	Professional		$719.68	$1,420.56	$4,604.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $915.02 / $1,358.08 / $1,807.70	Facility		$915.02	$1,358.08	$1,807.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $915.02 / $1,358.08 / $1,807.70	Professional		$915.02	$1,358.08	$1,807.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,080.50 / $1,579.70	Professional		$3.00	$1,080.50	$1,579.70
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 $675.06 / $1,282.08 / $1,910.89	Professional		$675.06	$1,282.08	$1,910.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,176.40 / $1,176.40 / $1,384.00	Professional		$1,176.40	$1,176.40	$1,384.00