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 $467.32 / $798.86 / $2,944.57	Professional		$467.32	$798.86	$2,944.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.50 / $1,274.60 / $1,593.26	Professional		$519.50	$1,274.60	$1,593.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $527.92 / $779.45 / $2,287.71	Professional		$527.92	$779.45	$2,287.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.41 / $1,055.98 / $3,396.00	Facility		$613.41	$1,055.98	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $586.94 / $1,137.13 / $4,178.39	Professional		$586.94	$1,137.13	$4,178.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.51 / $1,140.72 / $1,634.15	Facility		$768.51	$1,140.72	$1,634.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $739.97 / $1,140.72 / $1,546.87	Professional		$739.97	$1,140.72	$1,546.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $939.30 / $1,483.30	Professional		$5.00	$939.30	$1,483.30
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 $581.26 / $845.47 / $1,651.91	Professional		$581.26	$845.47	$1,651.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $886.70 / $1,122.40 / $1,320.50	Professional		$886.70	$1,122.40	$1,320.50