Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $974.42 / $1,074.08	Professional		$603.70	$974.42	$1,074.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.46 / $1,505.81 / $1,864.97	Professional		$1,186.46	$1,505.81	$1,864.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.66 / $1,004.49 / $2,597.66	Professional		$669.66	$1,004.49	$2,597.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.20 / $1,341.00 / $1,966.00	Facility		$810.20	$1,341.00	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.72 / $1,318.65 / $4,605.59	Professional		$690.72	$1,318.65	$4,605.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,186.46 / $1,505.81 / $2,134.67	Facility		$1,186.46	$1,505.81	$2,134.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,237.48 / $1,506.24 / $2,134.67	Professional		$1,237.48	$1,506.24	$2,134.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $631.39 / $1,127.03 / $1,350.66	Professional		$631.39	$1,127.03	$1,350.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.33 / $1,004.69 / $1,871.23	Professional		$659.33	$1,004.69	$1,871.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,048.96 / $1,327.80 / $1,562.10	Professional		$1,048.96	$1,327.80	$1,562.10