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 $557.69 / $929.31 / $3,449.10	Professional		$557.69	$929.31	$3,449.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.91 / $1,477.95 / $1,847.44	Professional		$630.91	$1,477.95	$1,847.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $970.89 / $1,965.27	Professional		$618.75	$970.89	$1,965.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.62 / $1,339.84 / $3,473.61	Facility		$812.62	$1,339.84	$3,473.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.44 / $1,402.22 / $4,878.32	Professional		$712.44	$1,402.22	$4,878.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,414.02 / $1,940.93	Facility		$916.00	$1,414.02	$1,940.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,414.02 / $1,924.60	Professional		$910.00	$1,414.02	$1,924.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,080.40 / $1,727.10	Professional		$5.00	$1,080.40	$1,727.10
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 $683.60 / $994.32 / $2,023.01	Professional		$683.60	$994.32	$2,023.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,034.74 / $1,309.80 / $1,541.00	Professional		$1,034.74	$1,309.80	$1,541.00