Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,964.00 / $9,248.33	Facility		$3,468.00	$4,964.00	$9,248.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.57 / $851.18 / $3,249.00	Professional		$532.57	$851.18	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.52 / $1,550.21 / $2,036.37	Professional		$808.52	$1,550.21	$2,036.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $518.14 / $954.51 / $1,635.20	Professional		$518.14	$954.51	$1,635.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $796.01 / $1,467.48 / $5,023.00	Facility		$796.01	$1,467.48	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $1,354.22 / $4,216.47	Professional		$772.00	$1,354.22	$4,216.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.00 / $1,560.85 / $1,986.54	Facility		$1,127.00	$1,560.85	$1,986.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,398.62 / $1,890.36	Professional		$1,032.00	$1,398.62	$1,890.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $543.87 / $997.89 / $2,021.72	Professional		$543.87	$997.89	$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 $721.75 / $1,033.53 / $1,941.41	Professional		$721.75	$1,033.53	$1,941.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $997.61 / $1,200.40 / $1,485.70	Professional		$997.61	$1,200.40	$1,485.70