Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $6,446.00	Facility		$2,906.00	$4,277.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.48 / $791.99 / $1,934.03	Professional		$484.48	$791.99	$1,934.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.57 / $934.92 / $1,498.79	Professional		$510.57	$934.92	$1,498.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.38 / $628.36 / $1,121.82	Professional		$306.38	$628.36	$1,121.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.75 / $897.30 / $7,123.00	Facility		$494.75	$897.30	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.45 / $867.04 / $2,441.67	Professional		$522.45	$867.04	$2,441.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $733.61 / $1,119.28 / $2,256.42	Facility		$733.61	$1,119.28	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.92 / $940.40 / $1,406.84	Professional		$615.92	$940.40	$1,406.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $625.86 / $2,471.88	Professional		$342.47	$625.86	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.45 / $712.43 / $1,228.19	Professional		$522.45	$712.43	$1,228.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $601.20 / $707.30 / $1,101.40	Professional		$601.20	$707.30	$1,101.40