Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $576.40 / $2,193.54	Professional		$339.94	$576.40	$2,193.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.90 / $887.48 / $1,014.22	Professional		$793.90	$887.48	$1,014.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $339.80 / $530.28 / $1,075.20	Professional		$339.80	$530.28	$1,075.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $11,933.00 / $57,645.35	Facility		$609.66	$11,933.00	$57,645.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.42 / $872.12 / $1,430.41	Professional		$450.42	$872.12	$1,430.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $800.46 / $1,187.80 / $38,498.37	Facility		$800.46	$1,187.80	$38,498.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $572.42 / $860.32 / $1,125.25	Professional		$572.42	$860.32	$1,125.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.93 / $667.07 / $38,997.29	Professional		$364.93	$667.07	$38,997.29
United Facility/Professional Facility Modifier Low / Median / High Price $16,237.00 / $25,438.00 / $65,894.00	Facility		$16,237.00	$25,438.00	$65,894.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $720.76 / $1,173.15	Professional		$432.46	$720.76	$1,173.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $738.60 / $869.00	Professional		$583.49	$738.60	$869.00