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 $501.67 / $775.14 / $2,908.47	Professional		$501.67	$775.14	$2,908.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.20 / $1,241.10 / $1,551.38	Professional		$544.20	$1,241.10	$1,551.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.26 / $846.03 / $1,630.31	Professional		$524.26	$846.03	$1,630.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $788.73 / $1,260.17 / $4,036.74	Facility		$788.73	$1,260.17	$4,036.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $1,180.38 / $4,125.20	Professional		$617.51	$1,180.38	$4,125.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $824.06 / $1,180.38 / $1,764.49	Facility		$824.06	$1,180.38	$1,764.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $824.06 / $1,180.38 / $1,635.76	Professional		$824.06	$1,180.38	$1,635.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $960.10 / $1,444.80	Professional		$6.00	$960.10	$1,444.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.25 / $841.09 / $1,711.25	Professional		$578.25	$841.09	$1,711.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $874.06 / $1,106.40 / $1,301.59	Professional		$874.06	$1,106.40	$1,301.59