Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $7,079.46	Facility		$1,000.00	$4,265.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $2,884.03	Professional		$562.34	$1,122.02	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,995.26	Professional		$1,445.44	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,995.26	Professional		$660.69	$1,096.48	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $8,317.64	Facility		$912.01	$2,570.40	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,884.03	Professional		$691.83	$1,258.93	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,819.70	Professional		$1,122.02	$1,659.59	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $1,819.70	Professional		$1,230.27	$1,819.70	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,288.25 / $1,778.28	Professional		$5.01	$1,288.25	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,819.70	Professional		$645.65	$977.24	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,479.11	Professional		$1,258.93	$1,258.93	$1,479.11