Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $888.09 / $2,601.03	Professional		$150.77	$888.09	$2,601.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $537.90 / $2,650.89	Professional		$333.45	$537.90	$2,650.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $1,169.31 / $2,139.00	Professional		$188.28	$1,169.31	$2,139.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.79 / $1,731.88 / $5,163.00	Facility		$326.79	$1,731.88	$5,163.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.73 / $2,266.23 / $4,990.92	Professional		$398.73	$2,266.23	$4,990.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.38 / $1,416.99 / $2,620.67	Facility		$341.38	$1,416.99	$2,620.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $326.79 / $1,882.01 / $2,744.88	Professional		$326.79	$1,882.01	$2,744.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $2,687.60	Professional		$6.00	$6.00	$2,687.60
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 $1,123.75 / $2,218.75 / $3,048.46	Professional		$1,123.75	$2,218.75	$3,048.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $325.50 / $1,948.10	Professional		$276.70	$325.50	$1,948.10