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 $507.74 / $858.47 / $858.47	Professional		$507.74	$858.47	$858.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.33 / $1,383.77 / $1,570.89	Professional		$1,218.33	$1,383.77	$1,570.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $538.26 / $880.59 / $2,215.27	Professional		$538.26	$880.59	$2,215.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $894.78 / $1,383.77 / $5,847.00	Facility		$894.78	$1,383.77	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.80 / $1,298.55 / $4,177.20	Professional		$684.80	$1,298.55	$4,177.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,239.29 / $1,620.94	Facility		$813.26	$1,239.29	$1,620.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $878.00 / $1,218.33 / $1,620.94	Professional		$878.00	$1,218.33	$1,620.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $908.60 / $1,453.30	Professional		$4.00	$908.60	$1,453.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.08 / $1,105.38 / $1,746.76	Professional		$617.08	$1,105.38	$1,746.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,106.40 / $1,106.40 / $1,301.70	Professional		$1,106.40	$1,106.40	$1,301.70