Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.31 / $3,167.00 / $6,446.00	Facility		$1,356.31	$3,167.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.12 / $535.11 / $788.29	Professional		$415.12	$535.11	$788.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.03 / $1,126.61 / $1,352.32	Professional		$821.03	$1,126.61	$1,352.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.66 / $703.70 / $1,256.04	Professional		$433.66	$703.70	$1,256.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $1,099.33 / $3,258.00	Facility		$647.16	$1,099.33	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.28 / $987.68 / $3,386.88	Professional		$501.28	$987.68	$3,386.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,126.61 / $1,597.11	Facility		$953.00	$1,126.61	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $786.00 / $1,082.25 / $1,365.49	Professional		$786.00	$1,082.25	$1,365.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $456.41 / $827.04 / $1,727.45	Professional		$456.41	$827.04	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.18 / $727.14 / $1,354.29	Professional		$477.18	$727.14	$1,354.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $784.79 / $993.40 / $1,168.70	Professional		$784.79	$993.40	$1,168.70