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 $157.83 / $282.51 / $4,466.14	Professional		$157.83	$282.51	$4,466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.65 / $5,167.14 / $7,640.02	Professional		$385.65	$5,167.14	$7,640.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $3,311.97 / $8,740.89	Professional		$219.96	$3,311.97	$8,740.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.21 / $6,546.71 / $13,238.00	Facility		$427.21	$6,546.71	$13,238.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.98 / $5,832.44 / $15,132.36	Professional		$465.98	$5,832.44	$15,132.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $390.51 / $6,432.26 / $8,673.25	Facility		$390.51	$6,432.26	$8,673.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $5,167.14 / $8,673.25	Professional		$379.91	$5,167.14	$8,673.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,893.50	Professional		$5.00	$5.00	$7,893.50
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 $3,742.74 / $6,425.04 / $10,153.12	Professional		$3,742.74	$6,425.04	$10,153.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.10 / $387.20 / $5,682.20	Professional		$329.10	$387.20	$5,682.20