Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.49 / $414.09 / $673.95	Professional		$297.49	$414.09	$673.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.25 / $909.07 / $1,155.34	Professional		$632.25	$909.07	$1,155.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.24 / $572.94 / $900.40	Professional		$359.24	$572.94	$900.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.99 / $782.82 / $1,060.04	Facility		$408.99	$782.82	$1,060.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $396.99 / $786.69 / $2,912.40	Professional		$396.99	$786.69	$2,912.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $786.69 / $1,081.76	Facility		$207.58	$786.69	$1,081.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $609.41 / $853.38 / $1,141.73	Professional		$609.41	$853.38	$1,141.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $621.22 / $825.29	Professional		$269.32	$621.22	$825.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.09 / $576.26 / $1,156.61	Professional		$379.09	$576.26	$1,156.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $670.24 / $848.40 / $998.10	Professional		$670.24	$848.40	$998.10