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 $539.20 / $844.44 / $3,141.38	Professional		$539.20	$844.44	$3,141.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $1,343.17 / $1,678.96	Professional		$595.00	$1,343.17	$1,678.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.22 / $881.79 / $1,915.24	Professional		$562.22	$881.79	$1,915.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.59 / $1,339.50 / $3,164.27	Facility		$786.59	$1,339.50	$3,164.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $650.98 / $1,286.80 / $4,646.20	Professional		$650.98	$1,286.80	$4,646.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $848.86 / $1,349.33 / $1,756.08	Facility		$848.86	$1,349.33	$1,756.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $1,342.64 / $1,716.41	Professional		$828.00	$1,342.64	$1,716.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,075.70 / $1,572.50	Professional		$7.00	$1,075.70	$1,572.50
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 $622.67 / $921.22 / $1,842.73	Professional		$622.67	$921.22	$1,842.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $939.94 / $1,189.80 / $1,399.80	Professional		$939.94	$1,189.80	$1,399.80