Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $538.40	Professional		$517.50	$517.50	$538.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.87 / $1,257.26 / $1,372.19	Professional		$921.87	$1,257.26	$1,372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $752.26 / $1,564.58	Professional		$579.97	$752.26	$1,564.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $796.95 / $1,363.92 / $11,732.00	Facility		$796.95	$1,363.92	$11,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.57 / $1,265.83 / $1,265.83	Professional		$888.57	$1,265.83	$1,265.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,015.19 / $1,265.83 / $1,265.83	Facility		$1,015.19	$1,265.83	$1,265.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $921.87 / $987.84 / $1,265.83	Professional		$921.87	$987.84	$1,265.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,374.20	Professional		$5.00	$5.00	$1,374.20
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $888.30 / $888.30 / $1,045.09	Professional		$888.30	$888.30	$1,045.09