Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.39 / $494.28 / $494.28	Professional		$309.39	$494.28	$494.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.22 / $885.66 / $5,178.68	Professional		$743.22	$885.66	$5,178.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $327.72 / $530.71 / $4,208.35	Professional		$327.72	$530.71	$4,208.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $2,935.10 / $6,608.00	Facility		$494.28	$2,935.10	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $344.27 / $661.53 / $5,178.68	Professional		$344.27	$661.53	$5,178.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $418.24 / $743.22 / $1,069.96	Facility		$418.24	$743.22	$1,069.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $424.41 / $743.22 / $4,743.39	Professional		$424.41	$743.22	$4,743.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $290.30 / $290.30	Professional		$290.30	$290.30	$290.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $433.50 / $859.17	Professional		$303.52	$433.50	$859.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $273.60 / $273.60	Professional		$273.60	$273.60	$273.60