Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.03 / $867.29 / $867.29	Professional		$493.03	$867.29	$867.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.27 / $1,246.24 / $1,507.56	Professional		$872.27	$1,246.24	$1,507.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.71 / $789.34 / $1,963.88	Professional		$529.71	$789.34	$1,963.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.08 / $1,435.18 / $8,957.00	Facility		$588.08	$1,435.18	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.52 / $1,141.60 / $2,768.20	Professional		$601.52	$1,141.60	$2,768.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $989.01 / $1,459.98 / $2,961.89	Facility		$989.01	$1,459.98	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.01 / $1,246.24 / $1,459.98	Professional		$989.01	$1,246.24	$1,459.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,212.50	Professional		$5.00	$5.00	$1,212.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $7,091.00 / $10,320.00	Facility		$4,180.89	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $1,064.68 / $1,535.66	Professional		$560.00	$1,064.68	$1,535.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,010.00 / $1,188.20	Professional		$1,010.00	$1,010.00	$1,188.20