Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.53 / $958.13 / $1,091.38	Professional		$626.53	$958.13	$1,091.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,229.51 / $1,576.90 / $1,971.12	Professional		$1,229.51	$1,576.90	$1,971.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $1,024.47 / $2,097.40	Professional		$642.72	$1,024.47	$2,097.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,018.58 / $1,586.20 / $2,962.51	Facility		$1,018.58	$1,586.20	$2,962.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.81 / $1,328.95 / $5,142.64	Professional		$712.81	$1,328.95	$5,142.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.00 / $1,547.17 / $1,969.98	Facility		$1,223.00	$1,547.17	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $969.86 / $1,547.17 / $2,023.60	Professional		$969.86	$1,547.17	$2,023.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $682.98 / $1,266.67 / $1,729.73	Professional		$682.98	$1,266.67	$1,729.73
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 $680.41 / $1,036.82 / $1,931.07	Professional		$680.41	$1,036.82	$1,931.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,079.84 / $1,366.90 / $1,608.20	Professional		$1,079.84	$1,366.90	$1,608.20