Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.05 / $4,033.00 / $7,119.04	Facility		$1,169.05	$4,033.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $610.16 / $1,725.81	Professional		$330.20	$610.16	$1,725.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.24 / $1,030.45 / $1,565.02	Professional		$712.24	$1,030.45	$1,565.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.59 / $679.76 / $1,074.26	Professional		$393.59	$679.76	$1,074.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.39 / $1,030.45 / $5,567.24	Facility		$577.39	$1,030.45	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.60 / $1,030.45 / $3,075.08	Professional		$541.60	$1,030.45	$3,075.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $826.17 / $1,181.95 / $2,932.27	Facility		$826.17	$1,181.95	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $712.24 / $1,010.97 / $1,428.00	Professional		$712.24	$1,010.97	$1,428.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,617.65 / $1,617.65 / $1,617.65	Facility		$1,617.65	$1,617.65	$1,617.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $384.48 / $702.67 / $3,254.15	Professional		$384.48	$702.67	$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 $515.80 / $824.41 / $1,537.11	Professional		$515.80	$824.41	$1,537.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $762.40 / $896.90 / $1,226.09	Professional		$762.40	$896.90	$1,226.09