Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.10 / $1,279.06 / $3,996.32	Professional		$233.10	$1,279.06	$3,996.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $667.10 / $6,450.53	Professional		$328.00	$667.10	$6,450.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.81 / $2,886.83 / $6,226.61	Professional		$269.81	$2,886.83	$6,226.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $1,105.75 / $5,711.76	Facility		$445.40	$1,105.75	$5,711.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $4,344.14 / $9,766.79	Professional		$612.00	$4,344.14	$9,766.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $529.51 / $1,193.67 / $6,875.27	Facility		$529.51	$1,193.67	$6,875.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $520.38 / $3,684.14 / $6,875.27	Professional		$520.38	$3,684.14	$6,875.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $1,301.45 / $4,222.77	Professional		$231.02	$1,301.45	$4,222.77
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 $717.52 / $3,948.84 / $8,077.30	Professional		$717.52	$3,948.84	$8,077.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $458.90 / $561.40 / $5,034.30	Professional		$458.90	$561.40	$5,034.30