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 $433.37 / $740.23 / $2,799.21	Professional		$433.37	$740.23	$2,799.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.30 / $1,257.32 / $1,317.60	Professional		$1,025.30	$1,257.32	$1,317.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.27 / $828.23 / $1,478.39	Professional		$457.27	$828.23	$1,478.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.12 / $1,257.32 / $7,305.00	Facility		$826.12	$1,257.32	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $594.40 / $1,156.73 / $2,050.67	Professional		$594.40	$1,156.73	$2,050.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $771.20 / $1,156.73 / $1,456.87	Facility		$771.20	$1,156.73	$1,456.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $771.20 / $1,066.95 / $1,456.87	Professional		$771.20	$1,066.95	$1,456.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $799.55 / $985.59	Professional		$494.21	$799.55	$985.59
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 $554.89 / $993.97 / $1,597.11	Professional		$554.89	$993.97	$1,597.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.78 / $978.20 / $1,150.80	Professional		$772.78	$978.20	$1,150.80