Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,911.00 / $7,120.36	Facility		$4,146.00	$4,911.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.55 / $550.72 / $1,105.74	Professional		$339.55	$550.72	$1,105.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.19 / $1,006.01 / $1,516.32	Professional		$697.19	$1,006.01	$1,516.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $697.31 / $1,235.55	Professional		$369.37	$697.31	$1,235.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.97 / $983.53 / $5,567.24	Facility		$581.97	$983.53	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $1,037.93 / $3,494.84	Professional		$557.84	$1,037.93	$3,494.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $810.05 / $1,145.54 / $2,932.27	Facility		$810.05	$1,145.54	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.75 / $974.01 / $1,400.36	Professional		$735.75	$974.01	$1,400.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.49 / $660.39 / $3,254.15	Professional		$361.49	$660.39	$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 $518.04 / $755.78 / $1,501.47	Professional		$518.04	$755.78	$1,501.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $714.30 / $840.30 / $1,188.40	Professional		$714.30	$840.30	$1,188.40