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 $421.08 / $628.82 / $2,375.06	Professional		$421.08	$628.82	$2,375.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.25 / $1,030.75 / $1,288.44	Professional		$448.25	$1,030.75	$1,288.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.14 / $677.06 / $1,514.95	Professional		$417.14	$677.06	$1,514.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.28 / $999.99 / $3,213.30	Facility		$581.28	$999.99	$3,213.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.10 / $999.13 / $3,395.28	Professional		$514.10	$999.13	$3,395.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $703.68 / $999.99 / $1,402.60	Facility		$703.68	$999.99	$1,402.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $999.99 / $1,364.22	Professional		$703.68	$999.99	$1,364.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $842.60 / $1,160.80	Professional		$5.00	$842.60	$1,160.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $720.92 / $1,400.95	Professional		$471.20	$720.92	$1,400.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $696.62 / $881.80 / $1,037.40	Professional		$696.62	$881.80	$1,037.40