Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.08 / $2,906.00 / $6,298.62	Facility		$712.08	$2,906.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $768.44 / $1,470.61	Professional		$250.12	$768.44	$1,470.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.25 / $912.04 / $2,534.73	Professional		$389.25	$912.04	$2,534.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.52 / $1,097.35 / $2,352.27	Professional		$230.52	$1,097.35	$2,352.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.21 / $1,536.79 / $2,461.36	Facility		$525.21	$1,536.79	$2,461.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.57 / $1,930.53 / $7,304.82	Professional		$660.57	$1,930.53	$7,304.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.12 / $1,731.42 / $2,534.73	Facility		$537.12	$1,731.42	$2,534.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.12 / $1,505.49 / $2,534.73	Professional		$537.12	$1,505.49	$2,534.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $701.66 / $1,459.15	Professional		$250.29	$701.66	$1,459.15
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 $884.09 / $1,588.45 / $2,616.35	Professional		$884.09	$1,588.45	$2,616.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $492.40 / $602.50 / $1,867.50	Professional		$492.40	$602.50	$1,867.50