Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.44 / $4,014.00 / $6,446.00	Facility		$986.44	$4,014.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.48 / $1,007.76 / $3,862.49	Professional		$742.48	$1,007.76	$3,862.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.52 / $1,745.65 / $2,314.90	Professional		$950.52	$1,745.65	$2,314.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $599.11 / $1,120.07 / $1,931.29	Professional		$599.11	$1,120.07	$1,931.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.84 / $1,647.48 / $5,023.00	Facility		$921.84	$1,647.48	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.49 / $1,554.48 / $4,817.43	Professional		$900.49	$1,554.48	$4,817.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,319.00 / $1,700.84 / $2,181.00	Facility		$1,319.00	$1,700.84	$2,181.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,203.10 / $1,597.48 / $2,181.00	Professional		$1,203.10	$1,597.48	$2,181.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $652.98 / $1,187.54 / $2,021.72	Professional		$652.98	$1,187.54	$2,021.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.20 / $1,125.61 / $2,171.84	Professional		$791.20	$1,125.61	$2,171.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,150.79 / $1,382.40 / $1,713.80	Professional		$1,150.79	$1,382.40	$1,713.80