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 $569.24 / $967.99 / $3,637.44	Professional		$569.24	$967.99	$3,637.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.89 / $1,537.97 / $1,719.86	Professional		$1,375.89	$1,537.97	$1,719.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $593.33 / $926.15 / $1,982.72	Professional		$593.33	$926.15	$1,982.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.99 / $1,537.97 / $6,608.00	Facility		$967.99	$1,537.97	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.32 / $1,463.07 / $2,563.65	Professional		$730.32	$1,463.07	$2,563.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $979.16 / $1,402.47 / $1,904.26	Facility		$979.16	$1,402.47	$1,904.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $979.16 / $1,402.47 / $1,904.26	Professional		$979.16	$1,402.47	$1,904.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $637.70 / $1,053.69 / $1,271.77	Professional		$637.70	$1,053.69	$1,271.77
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 $699.89 / $1,402.20 / $1,981.18	Professional		$699.89	$1,402.20	$1,981.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,015.78 / $1,285.80 / $1,512.70	Professional		$1,015.78	$1,285.80	$1,512.70