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 $616.47 / $933.12 / $3,548.95	Professional		$616.47	$933.12	$3,548.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $1,542.62 / $1,928.27	Professional		$657.74	$1,542.62	$1,928.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $656.30 / $1,043.80 / $2,726.92	Professional		$656.30	$1,043.80	$2,726.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.40 / $1,418.19 / $3,649.47	Facility		$873.40	$1,418.19	$3,649.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.65 / $1,484.60 / $5,037.76	Professional		$776.65	$1,484.60	$5,037.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,024.23 / $1,574.21 / $2,130.76	Facility		$1,024.23	$1,574.21	$2,130.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,024.23 / $1,547.07 / $2,023.46	Professional		$1,024.23	$1,547.07	$2,023.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,216.90 / $1,747.40	Professional		$7.00	$1,216.90	$1,747.40
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 $711.93 / $1,078.91 / $2,106.86	Professional		$711.93	$1,078.91	$2,106.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.59 / $1,388.10 / $1,633.10	Professional		$1,096.59	$1,388.10	$1,633.10