Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $897.69 / $897.69	Professional		$512.16	$897.69	$897.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,356.71 / $1,565.02	Professional		$1,135.33	$1,356.71	$1,565.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.84 / $792.16 / $1,347.37	Professional		$488.84	$792.16	$1,347.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.74 / $1,517.14 / $9,747.12	Facility		$813.74	$1,517.14	$9,747.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,235.17 / $4,641.26	Professional		$615.20	$1,235.17	$4,641.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $1,616.63 / $2,571.84	Facility		$856.00	$1,616.63	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $1,193.58 / $1,616.63	Professional		$789.00	$1,193.58	$1,616.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,037.00 / $1,459.20	Professional		$5.00	$1,037.00	$1,459.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $586.96 / $1,051.42 / $1,661.51	Professional		$586.96	$1,051.42	$1,661.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,033.90 / $1,033.90 / $1,216.40	Professional		$1,033.90	$1,033.90	$1,216.40