Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $560.10 / $560.10	Professional		$551.26	$560.10	$560.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.09 / $1,480.44 / $1,692.59	Professional		$1,312.09	$1,480.44	$1,692.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.47 / $930.34 / $1,557.83	Professional		$549.47	$930.34	$1,557.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $895.90 / $1,611.73 / $14,525.55	Facility		$895.90	$1,611.73	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.63 / $1,356.14 / $4,816.27	Professional		$676.63	$1,356.14	$4,816.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $1,759.16 / $5,275.65	Facility		$964.00	$1,759.16	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $892.04 / $1,315.85 / $1,759.16	Professional		$892.04	$1,315.85	$1,759.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,069.90 / $1,522.10	Professional		$6.00	$1,069.90	$1,522.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $644.45 / $1,220.68 / $1,824.24	Professional		$644.45	$1,220.68	$1,824.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,139.80 / $1,139.80 / $1,341.00	Professional		$1,139.80	$1,139.80	$1,341.00