Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.69 / $646.53 / $2,415.19	Professional		$416.69	$646.53	$2,415.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.97 / $1,028.41 / $1,285.52	Professional		$439.97	$1,028.41	$1,285.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $430.36 / $693.17 / $2,015.31	Professional		$430.36	$693.17	$2,015.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.37 / $1,091.93 / $7,799.00	Facility		$541.37	$1,091.93	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.68 / $996.90 / $3,403.68	Professional		$496.68	$996.90	$3,403.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $1,241.22 / $3,628.99	Facility		$696.00	$1,241.22	$3,628.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.50 / $1,033.47 / $1,317.44	Professional		$684.50	$1,033.47	$1,317.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $832.00 / $1,198.59	Professional		$3.00	$832.00	$1,198.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $695.74 / $1,415.53	Professional		$478.32	$695.74	$1,415.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $719.93 / $911.30 / $1,072.09	Professional		$719.93	$911.30	$1,072.09