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 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.53 / $859.86 / $1,995.98	Professional		$351.53	$859.86	$1,995.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.13 / $1,089.77 / $5,725.00	Professional		$432.13	$1,089.77	$5,725.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.77 / $1,144.36 / $5,647.04	Professional		$336.77	$1,144.36	$5,647.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.30 / $1,938.85 / $7,892.27	Facility		$710.30	$1,938.85	$7,892.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.22 / $2,673.33 / $15,571.33	Professional		$980.22	$2,673.33	$15,571.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $856.72 / $1,487.57 / $2,909.94	Facility		$856.72	$1,487.57	$2,909.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $826.79 / $1,920.05 / $5,725.00	Professional		$826.79	$1,920.05	$5,725.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,588.80 / $8,058.50	Professional		$5.00	$3,588.80	$8,058.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.22 / $2,070.30 / $4,944.97	Professional		$980.22	$2,070.30	$4,944.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $892.00 / $2,011.30	Professional		$729.00	$892.00	$2,011.30