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 $527.87 / $901.65 / $3,429.13	Professional		$527.87	$901.65	$3,429.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.68 / $1,425.41 / $1,612.31	Professional		$1,249.68	$1,425.41	$1,612.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $557.38 / $874.95 / $1,873.92	Professional		$557.38	$874.95	$1,873.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $729.07 / $1,600.92 / $7,305.00	Facility		$729.07	$1,600.92	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $1,406.42 / $2,256.42	Professional		$734.13	$1,406.42	$2,256.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.40 / $1,406.42 / $1,775.91	Facility		$934.40	$1,406.42	$1,775.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $934.40 / $1,300.57 / $1,775.91	Professional		$934.40	$1,300.57	$1,775.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.40 / $974.62 / $1,201.38	Professional		$602.40	$974.62	$1,201.38
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 $679.82 / $1,366.09 / $1,956.71	Professional		$679.82	$1,366.09	$1,956.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $942.00 / $1,192.40 / $1,402.80	Professional		$942.00	$1,192.40	$1,402.80