Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.02 / $720.40 / $1,125.92	Professional		$463.02	$720.40	$1,125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.02 / $1,373.94 / $1,825.51	Professional		$964.02	$1,373.94	$1,825.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.75 / $932.83 / $1,759.75	Professional		$471.75	$932.83	$1,759.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.68 / $1,351.46 / $5,321.00	Facility		$799.68	$1,351.46	$5,321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.12 / $1,369.35 / $4,985.76	Professional		$716.12	$1,369.35	$4,985.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,099.24 / $1,484.71 / $2,197.38	Facility		$1,099.24	$1,484.71	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,001.59 / $1,313.42 / $1,825.51	Professional		$1,001.59	$1,313.42	$1,825.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.86 / $945.14 / $2,471.88	Professional		$521.86	$945.14	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.45 / $1,015.54 / $1,891.44	Professional		$666.45	$1,015.54	$1,891.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,179.30 / $1,540.20	Professional		$1,002.40	$1,179.30	$1,540.20