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 $497.56 / $774.06 / $2,869.87	Professional		$497.56	$774.06	$2,869.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.07 / $1,228.64 / $1,535.80	Professional		$523.07	$1,228.64	$1,535.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $513.41 / $780.41 / $1,621.97	Professional		$513.41	$780.41	$1,621.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.91 / $1,056.17 / $3,396.00	Facility		$626.91	$1,056.17	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.07 / $1,144.71 / $4,050.16	Professional		$577.07	$1,144.71	$4,050.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $1,166.89 / $1,597.97	Facility		$772.00	$1,166.89	$1,597.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $722.55 / $1,166.89 / $1,501.24	Professional		$722.55	$1,166.89	$1,501.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $896.80 / $1,437.60	Professional		$5.00	$896.80	$1,437.60
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 $568.22 / $836.31 / $1,659.23	Professional		$568.22	$836.31	$1,659.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $859.36 / $1,087.80 / $1,279.70	Professional		$859.36	$1,087.80	$1,279.70