Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,817.59 / $7,943.37	Facility		$4,693.00	$5,817.59	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.49 / $553.74 / $2,155.94	Professional		$373.49	$553.74	$2,155.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.61 / $900.64 / $1,196.04	Professional		$425.61	$900.64	$1,196.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.40 / $634.41 / $1,559.43	Professional		$372.40	$634.41	$1,559.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.89 / $1,000.58 / $10,214.08	Facility		$590.89	$1,000.58	$10,214.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.62 / $920.05 / $3,345.14	Professional		$476.62	$920.05	$3,345.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $1,074.88 / $5,021.85	Facility		$707.00	$1,074.88	$5,021.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $644.87 / $877.73 / $1,248.28	Professional		$644.87	$877.73	$1,248.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $706.68 / $5,648.98	Professional		$365.97	$706.68	$5,648.98
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 $430.72 / $673.93 / $1,292.94	Professional		$430.72	$673.93	$1,292.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $611.46 / $774.00 / $910.50	Professional		$611.46	$774.00	$910.50