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 $381.86 / $633.02 / $788.59	Professional		$381.86	$633.02	$788.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.11 / $1,176.44 / $5,624.24	Professional		$543.11	$1,176.44	$5,624.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $358.24 / $785.72 / $6,868.73	Professional		$358.24	$785.72	$6,868.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.75 / $1,217.42 / $6,249.99	Facility		$611.75	$1,217.42	$6,249.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $502.58 / $966.89 / $5,925.00	Professional		$502.58	$966.89	$5,925.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $661.33 / $1,049.25 / $1,490.21	Facility		$661.33	$1,049.25	$1,490.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $673.46 / $1,049.25 / $4,415.82	Professional		$673.46	$1,049.25	$4,415.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $516.60 / $619.50	Professional		$471.80	$516.60	$619.50
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 $460.70 / $765.08 / $1,363.38	Professional		$460.70	$765.08	$1,363.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,193.97 / $4,043.00 / $4,756.50	Professional		$3,193.97	$4,043.00	$4,756.50