Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.21 / $3,636.00 / $6,446.00	Facility		$519.21	$3,636.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $1,063.73 / $4,573.00	Professional		$193.43	$1,063.73	$4,573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.74 / $1,601.89 / $2,164.92	Professional		$385.74	$1,601.89	$2,164.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $864.06 / $2,643.15	Professional		$165.22	$864.06	$2,643.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.84 / $1,601.89 / $4,663.00	Facility		$420.84	$1,601.89	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.19 / $1,981.85 / $3,560.47	Professional		$473.19	$1,981.85	$3,560.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $434.60 / $1,311.70 / $2,195.46	Facility		$434.60	$1,311.70	$2,195.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $385.74 / $1,601.89 / $2,363.30	Professional		$385.74	$1,601.89	$2,363.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $674.17 / $1,459.54	Professional		$167.38	$674.17	$1,459.54
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 $993.53 / $1,779.72 / $2,812.38	Professional		$993.53	$1,779.72	$2,812.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.20 / $369.70 / $1,535.20	Professional		$314.20	$369.70	$1,535.20