Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.51 / $681.02 / $1,030.54	Professional		$451.51	$681.02	$1,030.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.87 / $1,284.26 / $1,737.83	Professional		$865.87	$1,284.26	$1,737.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $854.84 / $1,252.27	Professional		$452.13	$854.84	$1,252.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.99 / $1,284.26 / $5,567.24	Facility		$604.99	$1,284.26	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $667.29 / $1,284.26 / $3,680.88	Professional		$667.29	$1,284.26	$3,680.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,081.51 / $1,423.58 / $2,932.27	Facility		$1,081.51	$1,423.58	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $798.04 / $1,249.49 / $1,729.13	Professional		$798.04	$1,249.49	$1,729.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.52 / $883.65 / $3,254.15	Professional		$484.52	$883.65	$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 $610.22 / $1,007.95 / $1,877.31	Professional		$610.22	$1,007.95	$1,877.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.60 / $1,121.90 / $1,476.80	Professional		$953.60	$1,121.90	$1,476.80