Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $558.88 / $927.42	Professional		$325.52	$558.88	$927.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.70 / $1,039.11 / $1,590.12	Professional		$716.70	$1,039.11	$1,590.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.39 / $705.76 / $1,369.99	Professional		$326.39	$705.76	$1,369.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $558.88 / $945.60 / $3,984.48	Facility		$558.88	$945.60	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.92 / $1,096.08 / $3,215.06	Professional		$573.92	$1,096.08	$3,215.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $800.57 / $1,288.94 / $1,833.31	Facility		$800.57	$1,288.94	$1,833.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $702.64 / $1,054.00 / $1,533.43	Professional		$702.64	$1,054.00	$1,533.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.56 / $671.19 / $2,323.61	Professional		$363.56	$671.19	$2,323.61
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 $551.99 / $876.86 / $1,784.03	Professional		$551.99	$876.86	$1,784.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $705.90 / $830.50 / $1,337.10	Professional		$705.90	$830.50	$1,337.10