Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,764.95 / $8,764.95 / $19,512.40	Facility		$8,764.95	$8,764.95	$19,512.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,425.81 / $8,764.95	Professional		$8,121.26	$8,425.81	$8,764.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $559.22 / $8,628.84	Professional		$372.59	$559.22	$8,628.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.18 / $6,835.54 / $10,112.95	Professional		$431.18	$6,835.54	$10,112.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.40 / $8,121.26 / $10,557.64	Facility		$347.40	$8,121.26	$10,557.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $8,967.24 / $37,127.98	Professional		$626.16	$8,967.24	$37,127.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.40 / $375.72 / $549.57	Facility		$347.40	$375.72	$549.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $347.40 / $413.86 / $626.16	Professional		$347.40	$413.86	$626.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $407.20 / $407.20	Professional		$27.40	$407.20	$407.20
United Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $8,713.45 / $10,151.58	Professional		$8,459.66	$8,713.45	$10,151.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9,813.20 / $9,813.20 / $9,813.20	Facility		$9,813.20	$9,813.20	$9,813.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,752.44 / $9,813.20 / $9,813.20	Professional		$7,752.44	$9,813.20	$9,813.20