Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $613.32 / $2,435.84	Professional		$124.33	$613.32	$2,435.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $547.41 / $1,774.09	Professional		$189.08	$547.41	$1,774.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $794.17 / $1,752.62	Professional		$147.25	$794.17	$1,752.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $1,075.96 / $6,055.31	Facility		$219.48	$1,075.96	$6,055.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $1,483.68 / $4,235.29	Professional		$679.39	$1,483.68	$4,235.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $314.75 / $1,440.18 / $3,103.79	Facility		$314.75	$1,440.18	$3,103.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $1,162.83 / $1,878.78	Professional		$282.38	$1,162.83	$1,878.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $511.40 / $1,807.90	Professional		$4.00	$511.40	$1,807.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,484.10 / $7,091.00 / $10,606.69	Facility		$4,484.10	$7,091.00	$10,606.69
United Facility/Professional Professional Modifier Low / Median / High Price $719.76 / $1,187.81 / $2,130.04	Professional		$719.76	$1,187.81	$2,130.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $304.70 / $1,376.40	Professional		$249.00	$304.70	$1,376.40