Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $776.34 / $898.51	Professional		$478.42	$776.34	$898.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.03 / $1,139.82 / $1,473.47	Professional		$529.03	$1,139.82	$1,473.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.63 / $646.28 / $1,582.30	Professional		$371.63	$646.28	$1,582.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $773.65 / $1,289.75 / $3,258.00	Facility		$773.65	$1,289.75	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.02 / $1,159.01 / $3,710.16	Professional		$591.02	$1,159.01	$3,710.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $448.85 / $1,076.40 / $1,369.36	Facility		$448.85	$1,076.40	$1,369.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.77 / $1,164.64 / $1,515.93	Professional		$963.77	$1,164.64	$1,515.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $451.87 / $715.66 / $937.95	Professional		$451.87	$715.66	$937.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.77 / $788.03 / $1,477.56	Professional		$541.77	$788.03	$1,477.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $761.01 / $1,020.20 / $1,133.30	Professional		$761.01	$1,020.20	$1,133.30