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 $290.62 / $601.25 / $1,253.14	Professional		$290.62	$601.25	$1,253.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.96 / $1,069.08 / $6,015.80	Professional		$433.96	$1,069.08	$6,015.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $744.19 / $3,738.60	Professional		$358.24	$744.19	$3,738.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.00 / $913.70 / $6,572.00	Facility		$476.00	$913.70	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.92 / $885.66 / $16,280.00	Professional		$472.92	$885.66	$16,280.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $657.45 / $831.12 / $1,134.60	Facility		$657.45	$831.12	$1,134.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $683.48 / $880.18 / $4,738.26	Professional		$683.48	$880.18	$4,738.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $516.60 / $550.60	Professional		$471.80	$516.60	$550.60
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 $429.93 / $743.69 / $1,399.55	Professional		$429.93	$743.69	$1,399.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,416.59 / $4,324.80 / $5,087.89	Professional		$3,416.59	$4,324.80	$5,087.89