Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,606.93 / $8,128.31	Facility		$1,000.00	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,698.24	Professional		$630.96	$812.83	$1,698.24
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 / $1,071.52 / $2,630.27	Professional		$660.69	$1,071.52	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $16,218.10	Facility		$1,000.00	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $6,760.83	Professional		$691.83	$1,230.27	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,041.74	Professional		$1,348.96	$1,445.44	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $1,862.09	Professional		$1,230.27	$1,819.70	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,288.25 / $1,819.70	Professional		$5.01	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,862.09	Professional		$660.69	$977.24	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44