Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,737.04 / $7,119.04	Facility		$2,906.00	$3,737.04	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $908.04 / $2,569.60	Professional		$144.87	$908.04	$2,569.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.22 / $1,064.05 / $2,008.94	Professional		$327.22	$1,064.05	$2,008.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $750.52 / $1,044.95	Professional		$137.00	$750.52	$1,044.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.05 / $1,217.01 / $3,989.48	Facility		$338.05	$1,217.01	$3,989.48
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $530.45 / $530.45	Facility	52	$530.45	$530.45	$530.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.92 / $1,404.16 / $4,841.12	Professional		$393.92	$1,404.16	$4,841.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.53 / $1,064.05 / $1,628.20	Facility		$360.53	$1,064.05	$1,628.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $1,001.09 / $1,802.69	Professional		$318.77	$1,001.09	$1,802.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,821.30 / $2,194.60	Professional		$4.00	$1,821.30	$2,194.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.06 / $1,323.69 / $2,322.91	Professional		$685.06	$1,323.69	$2,322.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $269.89 / $317.60 / $1,386.20	Professional		$269.89	$317.60	$1,386.20