Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.59 / $760.76 / $760.76	Professional		$448.59	$760.76	$760.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.58 / $1,228.08 / $1,398.23	Professional		$1,070.58	$1,228.08	$1,398.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.06 / $791.93 / $1,601.24	Professional		$482.06	$791.93	$1,601.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $434.85 / $1,070.58 / $1,607.00	Facility		$434.85	$1,070.58	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.39 / $1,172.47 / $3,699.44	Professional		$581.39	$1,172.47	$3,699.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.63 / $749.00 / $1,395.55	Facility		$354.63	$749.00	$1,395.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $1,136.81 / $1,575.31	Professional		$686.00	$1,136.81	$1,575.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,015.30 / $1,279.50	Professional		$6.00	$1,015.30	$1,279.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.51 / $998.05 / $1,577.16	Professional		$554.51	$998.05	$1,577.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $984.80 / $984.80 / $1,158.50	Professional		$984.80	$984.80	$1,158.50