Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.10 / $3,528.00 / $7,119.04	Facility		$992.10	$3,528.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $486.13 / $782.18	Professional		$304.45	$486.13	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.58 / $948.55 / $1,321.31	Professional		$637.58	$948.55	$1,321.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $621.83 / $1,128.00	Professional		$330.77	$621.83	$1,128.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.16 / $893.13 / $5,567.24	Facility		$522.16	$893.13	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.27 / $974.32 / $3,148.12	Professional		$520.27	$974.32	$3,148.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $727.81 / $1,077.14 / $2,932.27	Facility		$727.81	$1,077.14	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.96 / $888.00 / $1,321.31	Professional		$652.96	$888.00	$1,321.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $593.10 / $3,254.15	Professional		$324.64	$593.10	$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 $488.22 / $756.75 / $1,409.45	Professional		$488.22	$756.75	$1,409.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $641.79 / $755.00 / $1,117.40	Professional		$641.79	$755.00	$1,117.40