Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,917.20 / $7,119.04	Facility		$3,496.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.56 / $548.79 / $1,221.70	Professional		$470.56	$548.79	$1,221.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,195.92 / $1,494.90	Professional		$936.00	$1,195.92	$1,494.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $763.70 / $1,824.63	Professional		$481.14	$763.70	$1,824.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.65 / $1,265.33 / $4,645.00	Facility		$821.65	$1,265.33	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $1,048.02 / $5,205.68	Professional		$534.79	$1,048.02	$5,205.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $964.02 / $1,284.98 / $1,603.88	Facility		$964.02	$1,284.98	$1,603.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $770.13 / $1,164.47 / $1,557.00	Professional		$770.13	$1,164.47	$1,557.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $858.42 / $858.42 / $858.42	Facility		$858.42	$858.42	$858.42
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 $507.77 / $777.87 / $1,448.79	Professional		$507.77	$777.87	$1,448.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $811.17 / $1,026.80 / $1,208.00	Professional		$811.17	$1,026.80	$1,208.00