Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $8,851.00 / $11,923.23	Facility		$4,964.00	$8,851.00	$11,923.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.36 / $913.77 / $913.77	Professional		$519.36	$913.77	$913.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.99 / $1,587.42 / $3,045.63	Professional		$1,229.99	$1,587.42	$3,045.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.23 / $974.70 / $3,323.69	Professional		$512.23	$974.70	$3,323.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,386.92 / $2,923.66 / $17,384.84	Facility		$1,386.92	$2,923.66	$17,384.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,259.85 / $2,162.75 / $7,713.27	Professional		$1,259.85	$2,162.75	$7,713.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,294.75 / $2,551.79 / $10,513.68	Facility		$1,294.75	$2,551.79	$10,513.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,229.99 / $1,789.00 / $2,677.19	Professional		$1,229.99	$1,789.00	$2,677.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,685.00 / $2,510.40	Professional		$5.00	$1,685.00	$2,510.40
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 $1,207.35 / $2,038.45 / $3,417.67	Professional		$1,207.35	$2,038.45	$3,417.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,065.50 / $1,065.50 / $1,253.50	Professional		$1,065.50	$1,065.50	$1,253.50