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 $353.63 / $606.16 / $1,051.46	Professional		$353.63	$606.16	$1,051.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.98 / $853.89 / $1,351.26	Professional		$574.98	$853.89	$1,351.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $544.51 / $1,400.98	Professional		$258.05	$544.51	$1,400.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.77 / $1,024.43 / $5,567.24	Facility		$465.77	$1,024.43	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.49 / $1,261.78 / $4,561.17	Professional		$708.49	$1,261.78	$4,561.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.79 / $1,178.00 / $2,932.27	Facility		$643.79	$1,178.00	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $1,078.00 / $1,633.31	Professional		$643.79	$1,078.00	$1,633.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.67 / $460.65 / $3,254.15	Professional		$250.67	$460.65	$3,254.15
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 $691.88 / $1,079.59 / $2,010.76	Professional		$691.88	$1,079.59	$2,010.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $494.80 / $582.10 / $846.40	Professional		$494.80	$582.10	$846.40