Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,098.00 / $11,100.08	Facility		$4,277.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.47 / $1,025.17 / $1,489.55	Professional		$792.47	$1,025.17	$1,489.55
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $118.87 / $223.43 / $223.43	Professional	55	$118.87	$223.43	$223.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.58 / $1,949.31 / $2,436.64	Professional		$1,301.58	$1,949.31	$2,436.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.90 / $1,035.20 / $3,181.86	Professional		$618.90	$1,035.20	$3,181.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.48 / $3,111.68 / $13,238.00	Facility		$1,040.48	$3,111.68	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,735.38 / $3,072.64	Professional		$990.00	$1,735.38	$3,072.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,844.96 / $5,644.32 / $7,525.76	Facility		$1,844.96	$5,644.32	$7,525.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,393.96 / $2,026.91 / $2,630.20	Professional		$1,393.96	$2,026.91	$2,630.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,421.41 / $7,868.69	Professional		$753.18	$1,421.41	$7,868.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $918.12 / $1,363.04 / $2,717.04	Professional		$918.12	$1,363.04	$2,717.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,262.58 / $1,748.60 / $1,880.20	Professional		$1,262.58	$1,748.60	$1,880.20