Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.87 / $2,640.33 / $6,446.00	Facility		$739.87	$2,640.33	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $541.00 / $1,635.90	Professional		$225.00	$541.00	$1,635.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $648.54 / $2,314.90	Professional		$295.42	$648.54	$2,314.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $1,044.77 / $1,920.25	Professional		$260.45	$1,044.77	$1,920.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.41 / $1,022.43 / $3,044.00	Facility		$389.41	$1,022.43	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $805.85 / $1,574.53 / $6,034.32	Professional		$805.85	$1,574.53	$6,034.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,139.33 / $2,097.69	Facility		$571.29	$1,139.33	$2,097.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $1,239.53 / $2,297.71	Professional		$546.79	$1,239.53	$2,297.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $803.67 / $1,503.67	Professional		$227.27	$803.67	$1,503.67
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 $766.95 / $1,176.84 / $2,394.37	Professional		$766.95	$1,176.84	$2,394.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $447.30 / $547.29 / $1,792.40	Professional		$447.30	$547.29	$1,792.40