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 $580.97 / $855.32 / $3,238.20	Professional		$580.97	$855.32	$3,238.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $1,424.19 / $1,780.24	Professional		$593.04	$1,424.19	$1,780.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $578.26 / $1,017.10 / $2,472.57	Professional		$578.26	$1,017.10	$2,472.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $845.64 / $1,384.27 / $3,396.00	Facility		$845.64	$1,384.27	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.88 / $1,357.40 / $6,421.14	Professional		$705.88	$1,357.40	$6,421.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.95 / $1,384.27 / $1,931.33	Facility		$944.95	$1,384.27	$1,931.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $944.95 / $1,384.27 / $1,847.52	Professional		$944.95	$1,384.27	$1,847.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,123.90 / $1,595.20	Professional		$6.00	$1,123.90	$1,595.20
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 $647.04 / $987.35 / $1,914.87	Professional		$647.04	$987.35	$1,914.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $964.27 / $1,220.59 / $1,436.00	Professional		$964.27	$1,220.59	$1,436.00