Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,851.26 / $4,235.59 / $7,119.04	Facility		$2,851.26	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.36 / $491.83 / $1,046.83	Professional		$312.36	$491.83	$1,046.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $977.77 / $1,382.90	Professional		$635.66	$977.77	$1,382.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.99 / $629.62 / $1,107.69	Professional		$340.99	$629.62	$1,107.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.96 / $877.64 / $5,327.00	Facility		$513.96	$877.64	$5,327.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.91 / $967.74 / $3,178.54	Professional		$506.91	$967.74	$3,178.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.32 / $843.83 / $1,262.71	Facility		$480.32	$843.83	$1,262.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $671.77 / $896.39 / $1,269.45	Professional		$671.77	$896.39	$1,269.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.37 / $588.23 / $868.74	Professional		$331.37	$588.23	$868.74
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 $483.87 / $755.97 / $1,459.40	Professional		$483.87	$755.97	$1,459.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $658.40 / $774.60 / $1,081.20	Professional		$658.40	$774.60	$1,081.20