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 $387.47 / $554.75 / $952.46	Professional		$387.47	$554.75	$952.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $976.99 / $1,221.24	Professional		$810.00	$976.99	$1,221.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $400.70 / $620.39 / $1,400.91	Professional		$400.70	$620.39	$1,400.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $1,072.44 / $7,896.02	Facility		$647.16	$1,072.44	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.46 / $873.32 / $3,239.10	Professional		$444.46	$873.32	$3,239.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $1,108.46 / $2,961.89	Facility		$810.00	$1,108.46	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $946.13 / $1,270.21	Professional		$651.29	$946.13	$1,270.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.59 / $760.89 / $3,259.56	Professional		$413.59	$760.89	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.56 / $646.48 / $1,218.18	Professional		$424.56	$646.48	$1,218.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $659.10 / $834.30 / $981.50	Professional		$659.10	$834.30	$981.50