Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.49 / $3,901.00 / $7,119.04	Facility		$1,508.49	$3,901.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.66 / $603.50 / $2,120.87	Professional		$270.66	$603.50	$2,120.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.75 / $857.98 / $1,609.33	Professional		$623.75	$857.98	$1,609.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $780.55 / $1,702.26	Professional		$295.52	$780.55	$1,702.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.60 / $941.15 / $3,396.00	Facility		$473.60	$941.15	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $1,075.14 / $4,368.80	Professional		$581.88	$1,075.14	$4,368.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $672.97 / $1,273.86 / $1,620.88	Facility		$672.97	$1,273.86	$1,620.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $672.79 / $1,009.00 / $1,609.33	Professional		$672.79	$1,009.00	$1,609.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $832.72 / $832.72 / $832.72	Facility		$832.72	$832.72	$832.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $596.23 / $1,682.07	Professional		$295.27	$596.23	$1,682.07
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 $537.57 / $819.15 / $1,542.66	Professional		$537.57	$819.15	$1,542.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $687.00 / $1,329.60	Professional		$584.00	$687.00	$1,329.60