Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.90 / $5,549.00 / $11,100.08	Facility		$1,880.90	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.04 / $1,031.76 / $3,105.75	Professional		$753.04	$1,031.76	$3,105.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.71 / $1,858.93 / $2,545.71	Professional		$907.71	$1,858.93	$2,545.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.61 / $1,063.08 / $2,011.77	Professional		$639.61	$1,063.08	$2,011.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,329.00 / $2,148.57 / $6,087.47	Facility		$1,329.00	$2,148.57	$6,087.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $992.22 / $1,885.41 / $6,054.24	Professional		$992.22	$1,885.41	$6,054.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $814.98 / $1,676.35 / $2,362.35	Facility		$814.98	$1,676.35	$2,362.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,341.46 / $1,885.41 / $2,466.00	Professional		$1,341.46	$1,885.41	$2,466.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.04 / $1,166.61 / $1,591.11	Professional		$737.04	$1,166.61	$1,591.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.35 / $1,348.66 / $2,491.05	Professional		$916.35	$1,348.66	$2,491.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,310.85 / $1,661.70 / $1,952.20	Professional		$1,310.85	$1,661.70	$1,952.20