Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $16,344.90	Facility		$2,234.00	$3,795.64	$16,344.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $836.14 / $2,644.72	Professional		$142.62	$836.14	$2,644.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $391.50 / $4,796.33	Professional		$313.20	$391.50	$4,796.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $1,884.71 / $3,050.91	Professional		$137.90	$1,884.71	$3,050.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.62 / $3,532.12 / $10,188.00	Facility		$286.62	$3,532.12	$10,188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $392.72 / $3,712.44 / $7,103.14	Professional		$392.72	$3,712.44	$7,103.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.54 / $3,122.69 / $4,640.63	Facility		$329.54	$3,122.69	$4,640.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $3,462.38 / $4,917.21	Professional		$318.95	$3,462.38	$4,917.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $306.89 / $2,899.41	Professional		$147.94	$306.89	$2,899.41
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.34 / $3,152.37 / $4,733.83	Professional		$1,506.34	$3,152.37	$4,733.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $347.00 / $3,811.20	Professional		$294.89	$347.00	$3,811.20