Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $948.41 / $1,597.82	Professional		$221.52	$948.41	$1,597.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.60 / $958.99 / $2,921.63	Professional		$322.60	$958.99	$2,921.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.47 / $1,351.23 / $2,343.08	Professional		$195.47	$1,351.23	$2,343.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $434.24 / $1,499.18 / $2,870.51	Facility		$434.24	$1,499.18	$2,870.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.22 / $2,238.10 / $7,510.32	Professional		$557.22	$2,238.10	$7,510.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.07 / $2,123.00 / $2,960.85	Facility		$457.07	$2,123.00	$2,960.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.07 / $1,886.34 / $2,881.65	Professional		$457.07	$1,886.34	$2,881.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.53 / $882.80 / $1,812.42	Professional		$206.53	$882.80	$1,812.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $1,623.00 / $2,126.00	Facility		$1,026.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,803.99 / $3,288.34	Professional		$1,108.67	$1,803.99	$3,288.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $512.70 / $2,340.10	Professional		$419.00	$512.70	$2,340.10