Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.51 / $737.34 / $737.34	Professional		$436.51	$737.34	$737.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.90 / $1,189.93 / $1,347.51	Professional		$1,054.90	$1,189.93	$1,347.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $461.25 / $753.81 / $2,183.51	Professional		$461.25	$753.81	$2,183.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.70 / $1,223.94 / $5,163.00	Facility		$741.70	$1,223.94	$5,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.38 / $1,109.67 / $3,592.32	Professional		$571.38	$1,109.67	$3,592.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $721.27 / $1,096.79 / $1,414.72	Facility		$721.27	$1,096.79	$1,414.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $721.27 / $1,096.79 / $1,414.72	Professional		$721.27	$1,096.79	$1,414.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $877.20 / $1,249.09	Professional		$4.00	$877.20	$1,249.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.77 / $944.93 / $1,492.69	Professional		$527.77	$944.93	$1,492.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $950.10 / $950.10 / $1,117.70	Professional		$950.10	$950.10	$1,117.70