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 $392.98 / $671.28 / $3,419.62	Professional		$392.98	$671.28	$3,419.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.47 / $1,161.83 / $1,237.72	Professional		$929.47	$1,161.83	$1,237.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.25 / $649.84 / $1,923.84	Professional		$414.25	$649.84	$1,923.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.99 / $1,237.72 / $7,123.00	Facility		$747.99	$1,237.72	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.64 / $1,237.72 / $2,322.26	Professional		$749.64	$1,237.72	$2,322.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.10 / $1,230.01 / $1,411.61	Facility		$784.10	$1,230.01	$1,411.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $784.10 / $1,230.01 / $1,495.32	Professional		$784.10	$1,230.01	$1,495.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.57 / $724.58 / $892.29	Professional		$447.57	$724.58	$892.29
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 $703.68 / $1,363.05 / $1,908.91	Professional		$703.68	$1,363.05	$1,908.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $700.02 / $886.10 / $1,042.50	Professional		$700.02	$886.10	$1,042.50