Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.02 / $507.13 / $549.45	Professional		$461.02	$507.13	$549.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.30 / $955.37 / $1,032.30	Professional		$764.30	$955.37	$1,032.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $327.04 / $589.30 / $1,298.88	Professional		$327.04	$589.30	$1,298.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.82 / $1,247.69 / $57,645.35	Facility		$775.82	$1,247.69	$57,645.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.68 / $893.35 / $1,766.08	Professional		$478.68	$893.35	$1,766.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.38 / $1,075.09 / $38,658.50	Facility		$764.38	$1,075.09	$38,658.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.36 / $869.00 / $1,075.09	Professional		$546.36	$869.00	$1,075.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $640.41 / $38,274.68	Professional		$351.31	$640.41	$38,274.68
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 $395.17 / $700.05 / $1,118.61	Professional		$395.17	$700.05	$1,118.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $561.92 / $711.30 / $836.80	Professional		$561.92	$711.30	$836.80