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 $63.26 / $496.00 / $1,099.55	Professional		$63.26	$496.00	$1,099.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $572.78 / $1,778.67	Professional		$84.13	$572.78	$1,778.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $720.84 / $987.36	Professional		$63.73	$720.84	$987.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.30 / $787.33 / $2,023.12	Facility		$109.30	$787.33	$2,023.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.55 / $1,319.59 / $4,717.04	Professional		$176.55	$1,319.59	$4,717.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $969.10 / $1,778.67	Facility		$151.28	$969.10	$1,778.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $933.14 / $1,778.67	Professional		$144.11	$933.14	$1,778.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,268.00 / $1,939.40	Professional		$4.00	$1,268.00	$1,939.40
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 $612.41 / $933.68 / $1,780.70	Professional		$612.41	$933.68	$1,780.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.10 / $155.50 / $1,382.40	Professional		$127.10	$155.50	$1,382.40