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 $384.61 / $550.65 / $788.65	Professional		$384.61	$550.65	$788.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.38 / $1,021.94 / $1,194.94	Professional		$775.38	$1,021.94	$1,194.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.39 / $626.39 / $1,453.21	Professional		$412.39	$626.39	$1,453.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.19 / $1,006.88 / $1,461.91	Facility		$431.19	$1,006.88	$1,461.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.84 / $982.30 / $3,178.50	Professional		$486.84	$982.30	$3,178.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $938.14 / $1,253.69	Facility		$207.58	$938.14	$1,253.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.58 / $1,038.22 / $1,284.77	Professional		$794.58	$1,038.22	$1,284.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $629.67 / $838.34	Professional		$269.32	$629.67	$838.34
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 $425.99 / $706.89 / $1,320.68	Professional		$425.99	$706.89	$1,320.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $653.49 / $827.20 / $973.20	Professional		$653.49	$827.20	$973.20