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 $193.33 / $876.01 / $1,597.50	Professional		$193.33	$876.01	$1,597.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $862.76 / $2,759.07	Professional		$309.48	$862.76	$2,759.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $1,109.30 / $1,670.89	Professional		$183.13	$1,109.30	$1,670.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.24 / $1,746.26 / $6,558.00	Facility		$383.24	$1,746.26	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.51 / $2,229.53 / $4,191.20	Professional		$921.51	$2,229.53	$4,191.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.21 / $1,786.76 / $2,935.54	Facility		$427.21	$1,786.76	$2,935.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $1,850.57 / $2,896.97	Professional		$427.21	$1,850.57	$2,896.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $412.01 / $1,706.12	Professional		$202.68	$412.01	$1,706.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.13 / $1,839.09 / $3,197.26	Professional		$1,084.13	$1,839.09	$3,197.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $391.70 / $479.20 / $2,205.80	Professional		$391.70	$479.20	$2,205.80