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 $371.50 / $614.22 / $767.10	Professional		$371.50	$614.22	$767.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.54 / $1,176.44 / $5,755.24	Professional		$526.54	$1,176.44	$5,755.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $858.68 / $7,023.01	Professional		$358.24	$858.68	$7,023.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.22 / $1,181.33 / $6,572.00	Facility		$611.22	$1,181.33	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $609.63 / $1,137.76 / $16,500.00	Professional		$609.63	$1,137.76	$16,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $881.41 / $1,018.04 / $1,447.44	Facility		$881.41	$1,018.04	$1,447.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $888.07 / $1,170.41 / $4,519.06	Professional		$888.07	$1,170.41	$4,519.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $516.60 / $653.90	Professional		$471.80	$516.60	$653.90
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 $560.86 / $883.70 / $1,720.55	Professional		$560.86	$883.70	$1,720.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,267.99 / $4,136.70 / $4,866.70	Professional		$3,267.99	$4,136.70	$4,866.70