Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.26 / $573.79 / $804.08	Professional		$458.26	$573.79	$804.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.17 / $1,158.52 / $1,448.15	Professional		$890.17	$1,158.52	$1,448.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $757.31 / $1,476.26	Professional		$476.00	$757.31	$1,476.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.29 / $1,086.84 / $1,399.80	Facility		$528.29	$1,086.84	$1,399.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.57 / $1,120.43 / $3,753.44	Professional		$536.57	$1,120.43	$3,753.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,120.07 / $1,472.33	Facility		$207.58	$1,120.07	$1,472.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $844.85 / $1,134.63 / $1,472.33	Professional		$844.85	$1,134.63	$1,472.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $774.49 / $1,013.07	Professional		$269.32	$774.49	$1,013.07
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 $500.50 / $762.85 / $1,420.80	Professional		$500.50	$762.85	$1,420.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $1,000.50 / $1,177.00	Professional		$790.40	$1,000.50	$1,177.00