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 $621.76 / $837.53 / $1,323.03	Professional		$621.76	$837.53	$1,323.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.47 / $2,842.90 / $4,614.72	Professional		$750.47	$2,842.90	$4,614.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $639.99 / $2,102.23 / $5,669.27	Professional		$639.99	$2,102.23	$5,669.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $894.01 / $2,008.70 / $6,572.00	Facility		$894.01	$2,008.70	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,500.32 / $2,550.55 / $5,864.80	Professional		$1,500.32	$2,550.55	$5,864.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,581.37 / $2,008.70 / $3,315.21	Facility		$1,581.37	$2,008.70	$3,315.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,692.20 / $2,193.09 / $3,627.40	Professional		$1,692.20	$2,193.09	$3,627.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $987.90	Professional		$7.00	$7.00	$987.90
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 $973.83 / $2,182.29 / $4,440.00	Professional		$973.83	$2,182.29	$4,440.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,620.59 / $3,317.20 / $3,902.60	Professional		$2,620.59	$3,317.20	$3,902.60