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 $333.20 / $509.40 / $1,964.01	Professional		$333.20	$509.40	$1,964.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.21 / $831.15 / $1,017.24	Professional		$426.21	$831.15	$1,017.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $598.30 / $1,275.90	Professional		$353.90	$598.30	$1,275.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.28 / $848.39 / $2,024.85	Facility		$512.28	$848.39	$2,024.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.18 / $831.15 / $2,723.84	Professional		$433.18	$831.15	$2,723.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $571.97 / $848.39 / $1,185.70	Facility		$571.97	$848.39	$1,185.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $831.15 / $1,120.59	Professional		$571.97	$831.15	$1,120.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.60 / $695.10 / $946.80	Professional		$457.60	$695.10	$946.80
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 $397.08 / $647.66 / $1,175.09	Professional		$397.08	$647.66	$1,175.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $578.99 / $732.90 / $862.20	Professional		$578.99	$732.90	$862.20