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 $578.41 / $943.72 / $1,008.04	Professional		$578.41	$943.72	$1,008.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.39 / $1,455.36 / $1,819.20	Professional		$1,115.39	$1,455.36	$1,819.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $916.10 / $2,057.00	Professional		$595.34	$916.10	$2,057.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.40 / $1,562.46 / $8,077.96	Facility		$716.40	$1,562.46	$8,077.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.33 / $1,234.07 / $4,473.00	Professional		$661.33	$1,234.07	$4,473.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,115.39 / $1,692.76 / $2,961.89	Facility		$1,115.39	$1,692.76	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $943.31 / $1,433.77 / $1,880.18	Professional		$943.31	$1,433.77	$1,880.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $632.78 / $1,172.99 / $3,259.56	Professional		$632.78	$1,172.99	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $631.27 / $961.94 / $1,791.61	Professional		$631.27	$961.94	$1,791.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $998.72 / $1,264.20 / $1,487.30	Professional		$998.72	$1,264.20	$1,487.30