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 $439.68 / $762.96 / $1,109.81	Professional		$439.68	$762.96	$1,109.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.46 / $1,199.99 / $1,372.19	Professional		$983.46	$1,199.99	$1,372.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $717.48 / $1,167.85	Professional		$349.96	$717.48	$1,167.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,275.18 / $7,350.19	Facility		$748.00	$1,275.18	$7,350.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.84 / $1,104.80 / $3,621.52	Professional		$547.84	$1,104.80	$3,621.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $1,419.33 / $2,256.42	Facility		$748.00	$1,419.33	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $689.34 / $1,085.17 / $1,419.33	Professional		$689.34	$1,085.17	$1,419.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $837.50 / $1,269.50	Professional		$5.00	$837.50	$1,269.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.01 / $940.45 / $1,486.14	Professional		$525.01	$940.45	$1,486.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.20 / $953.20 / $1,121.50	Professional		$953.20	$953.20	$1,121.50