Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,490.61 / $2,250.57	Professional		$111.92	$1,490.61	$2,250.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $313.58 / $3,611.13	Professional		$250.87	$313.58	$3,611.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.12 / $1,592.50 / $2,394.88	Professional		$154.12	$1,592.50	$2,394.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $2,715.02 / $5,521.00	Facility		$257.64	$2,715.02	$5,521.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $3,107.50 / $5,518.15	Professional		$316.02	$3,107.50	$5,518.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.18 / $1,844.64 / $3,657.80	Facility		$269.18	$1,844.64	$3,657.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $2,662.27 / $4,033.55	Professional		$257.64	$2,662.27	$4,033.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $1,175.44 / $2,291.96	Professional		$120.76	$1,175.44	$2,291.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.62 / $3,308.69 / $4,576.17	Professional		$1,616.62	$3,308.69	$4,576.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $277.89 / $2,871.50	Professional		$236.20	$277.89	$2,871.50