Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,235.94 / $6,760.83	Facility		$1,000.00	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,584.89	Professional		$575.44	$660.69	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $1,862.09	Professional		$912.01	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $2,041.74	Professional		$501.19	$794.33	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $5,128.61	Facility		$794.33	$1,548.82	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,230.27 / $4,897.79	Professional		$562.34	$1,230.27	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,698.24	Professional		$912.01	$1,412.54	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,548.82	Professional		$1,202.26	$1,230.27	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,412.54	Professional		$616.60	$1,096.48	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,698.24	Professional		$562.34	$851.14	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,479.11	Professional		$977.24	$1,258.93	$1,479.11