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 $433.94 / $707.31 / $784.68	Professional		$433.94	$707.31	$784.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.09 / $1,148.39 / $1,435.49	Professional		$891.09	$1,148.39	$1,435.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $459.27 / $716.24 / $1,481.69	Professional		$459.27	$716.24	$1,481.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $1,208.41 / $4,645.00	Facility		$642.66	$1,208.41	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $942.64 / $3,716.08	Professional		$503.35	$942.64	$3,716.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $1,231.52 / $1,597.11	Facility		$838.00	$1,231.52	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $709.32 / $1,091.63 / $1,427.76	Professional		$709.32	$1,091.63	$1,427.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $486.41 / $898.16 / $1,729.73	Professional		$486.41	$898.16	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.47 / $732.14 / $1,341.90	Professional		$480.47	$732.14	$1,341.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $777.68 / $984.40 / $1,158.20	Professional		$777.68	$984.40	$1,158.20