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 $440.58 / $749.41 / $3,033.37	Professional		$440.58	$749.41	$3,033.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.47 / $1,194.06 / $1,329.34	Professional		$1,063.47	$1,194.06	$1,329.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.67 / $741.72 / $1,930.24	Professional		$482.67	$741.72	$1,930.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.41 / $4,501.54 / $9,874.90	Facility		$749.41	$4,501.54	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.10 / $1,212.23 / $1,915.74	Professional		$601.10	$1,212.23	$1,915.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.04 / $1,915.74 / $4,905.32	Facility		$927.04	$1,915.74	$4,905.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $923.15 / $1,171.78 / $1,548.61	Professional		$923.15	$1,171.78	$1,548.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.48 / $904.87 / $5,054.16	Professional		$494.48	$904.87	$5,054.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.82 / $1,128.63 / $1,630.64	Professional		$600.82	$1,128.63	$1,630.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $786.45 / $995.50 / $1,171.20	Professional		$786.45	$995.50	$1,171.20