Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $565.29 / $2,157.78	Professional		$333.25	$565.29	$2,157.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.94 / $904.84 / $1,018.67	Professional		$814.94	$904.84	$1,018.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.90 / $598.29 / $1,078.09	Professional		$345.90	$598.29	$1,078.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $1,123.69 / $10,320.00	Facility		$701.00	$1,123.69	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $856.46 / $1,504.12	Professional		$444.00	$856.46	$1,504.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $1,118.55 / $5,134.92	Facility		$701.00	$1,118.55	$5,134.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $823.14 / $1,118.55	Professional		$583.22	$823.14	$1,118.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.07 / $679.32 / $5,248.92	Professional		$371.07	$679.32	$5,248.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.05 / $729.05 / $1,240.15	Professional		$407.05	$729.05	$1,240.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $754.70 / $887.80	Professional		$596.21	$754.70	$887.80