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 $447.66 / $706.43 / $1,552.89	Professional		$447.66	$706.43	$1,552.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.54 / $1,128.14 / $1,410.17	Professional		$474.54	$1,128.14	$1,410.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $465.33 / $728.51 / $1,275.90	Professional		$465.33	$728.51	$1,275.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.88 / $1,102.17 / $7,042.90	Facility		$548.88	$1,102.17	$7,042.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.83 / $1,040.89 / $3,688.64	Professional		$535.83	$1,040.89	$3,688.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $577.00 / $1,251.69 / $3,328.85	Facility		$577.00	$1,251.69	$3,328.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $650.90 / $1,088.74 / $1,441.55	Professional		$650.90	$1,088.74	$1,441.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $845.10 / $1,312.30	Professional		$5.00	$845.10	$1,312.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,739.00 / $7,091.00 / $10,320.00	Facility		$3,739.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.53 / $745.50 / $1,516.77	Professional		$512.53	$745.50	$1,516.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $782.81 / $990.90 / $1,165.70	Professional		$782.81	$990.90	$1,165.70