Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.93 / $3,034.03 / $6,446.00	Facility		$715.93	$3,034.03	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.67 / $423.83 / $823.81	Professional		$231.67	$423.83	$823.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $953.00 / $953.00	Facility		$953.00	$953.00	$953.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.31 / $621.33 / $1,373.94	Professional		$305.31	$621.33	$1,373.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $644.79 / $1,226.66	Professional		$212.21	$644.79	$1,226.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.81 / $785.00 / $1,387.27	Facility		$376.81	$785.00	$1,387.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.64 / $1,026.99 / $3,602.00	Professional		$521.64	$1,026.99	$3,602.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $521.13 / $1,010.03 / $1,320.94	Facility		$521.13	$1,010.03	$1,320.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $492.73 / $876.75 / $1,353.31	Professional		$492.73	$876.75	$1,353.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.88 / $645.88 / $645.88	Facility		$645.88	$645.88	$645.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $496.00 / $1,300.43	Professional		$221.43	$496.00	$1,300.43
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $3,044.00 / $5,934.99	Facility		$637.00	$3,044.00	$5,934.99
United Facility/Professional Professional Modifier Low / Median / High Price $491.46 / $746.41 / $1,454.40	Professional		$491.46	$746.41	$1,454.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $434.50 / $531.60 / $1,090.20	Professional		$434.50	$531.60	$1,090.20