Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,375.62	Facility		$3,496.00	$5,091.00	$7,375.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.76 / $834.96 / $2,089.46	Professional		$334.76	$834.96	$2,089.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.59 / $1,715.78 / $2,815.47	Professional		$879.59	$1,715.78	$2,815.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.84 / $1,243.49 / $1,888.49	Professional		$366.84	$1,243.49	$1,888.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.34 / $1,935.41 / $6,837.54	Facility		$752.34	$1,935.41	$6,837.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.04 / $2,045.98 / $7,315.60	Professional		$861.04	$2,045.98	$7,315.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $899.55 / $2,055.90 / $2,582.35	Facility		$899.55	$2,055.90	$2,582.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $763.38 / $1,308.65 / $2,481.84	Professional		$763.38	$1,308.65	$2,481.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,754.80 / $2,719.00	Professional		$5.00	$1,754.80	$2,719.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.01 / $1,690.73 / $2,831.20	Professional		$883.01	$1,690.73	$2,831.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $761.70 / $896.10 / $2,080.00	Professional		$761.70	$896.10	$2,080.00