Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $490.22 / $828.26	Professional		$278.73	$490.22	$828.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $719.73 / $1,154.90	Professional		$323.70	$719.73	$1,154.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $569.57 / $1,074.35	Professional		$290.00	$569.57	$1,074.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $377.04 / $701.77 / $4,698.99	Facility		$377.04	$701.77	$4,698.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.90 / $873.07 / $3,487.44	Professional		$428.90	$873.07	$3,487.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $554.63 / $680.02 / $1,128.35	Facility		$554.63	$680.02	$1,128.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $508.32 / $749.69 / $1,154.90	Professional		$508.32	$749.69	$1,154.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $736.60 / $1,265.09	Professional		$5.00	$736.60	$1,265.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.54 / $672.80 / $1,261.50	Professional		$439.54	$672.80	$1,261.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $599.40 / $720.40 / $1,072.90	Professional		$599.40	$720.40	$1,072.90