Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.75 / $816.91 / $1,235.25	Professional		$473.75	$816.91	$1,235.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.61 / $1,482.24 / $2,118.55	Professional		$935.61	$1,482.24	$2,118.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.85 / $1,067.77 / $1,942.32	Professional		$516.85	$1,067.77	$1,942.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $816.91 / $1,380.58 / $6,616.19	Facility		$816.91	$1,380.58	$6,616.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $704.27 / $1,348.00 / $5,262.09	Professional		$704.27	$1,348.00	$5,262.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,001.89 / $1,589.70 / $6,466.51	Facility		$1,001.89	$1,589.70	$6,466.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $994.66 / $1,380.31 / $1,917.24	Professional		$994.66	$1,380.31	$1,917.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $528.69 / $963.69 / $7,234.74	Professional		$528.69	$963.69	$7,234.74
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 $625.86 / $986.53 / $1,940.35	Professional		$625.86	$986.53	$1,940.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,024.20 / $1,205.00 / $1,783.30	Professional		$1,024.20	$1,205.00	$1,783.30