Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.39 / $3,666.78 / $7,119.04	Facility		$1,833.39	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.94 / $988.66 / $1,793.47	Professional		$261.94	$988.66	$1,793.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.48 / $1,050.28 / $2,980.06	Professional		$418.48	$1,050.28	$2,980.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $1,407.77 / $2,339.88	Professional		$249.74	$1,407.77	$2,339.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.24 / $1,626.36 / $2,995.34	Facility		$536.24	$1,626.36	$2,995.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.79 / $2,420.63 / $7,706.96	Professional		$709.79	$2,420.63	$7,706.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.70 / $2,237.96 / $3,175.66	Facility		$583.70	$2,237.96	$3,175.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.70 / $1,930.38 / $2,983.78	Professional		$583.70	$1,930.38	$2,983.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $907.02 / $1,879.89	Professional		$274.75	$907.02	$1,879.89
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 $1,175.44 / $2,134.50 / $3,474.22	Professional		$1,175.44	$2,134.50	$3,474.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $535.10 / $654.79 / $2,413.90	Professional		$535.10	$654.79	$2,413.90