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 $332.01 / $524.27 / $2,007.17	Professional		$332.01	$524.27	$2,007.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.05 / $990.43 / $1,548.46	Professional		$527.05	$990.43	$1,548.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $658.93 / $1,172.04	Professional		$323.77	$658.93	$1,172.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.27 / $953.00 / $7,123.00	Facility		$524.27	$953.00	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.02 / $919.97 / $2,603.19	Professional		$548.02	$919.97	$2,603.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.56 / $1,184.84 / $2,256.42	Facility		$768.56	$1,184.84	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $663.23 / $919.97 / $1,469.73	Professional		$663.23	$919.97	$1,469.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $356.17 / $643.19 / $2,471.88	Professional		$356.17	$643.19	$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 $543.59 / $741.26 / $1,299.07	Professional		$543.59	$741.26	$1,299.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $745.60 / $1,135.50	Professional		$633.79	$745.60	$1,135.50