Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.15 / $613.07 / $613.07	Professional		$331.15	$613.07	$613.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $899.11 / $1,010.03	Professional		$614.00	$899.11	$1,010.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.94 / $571.01 / $1,484.38	Professional		$364.94	$571.01	$1,484.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.31 / $831.01 / $6,608.00	Facility		$450.31	$831.01	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.68 / $838.26 / $1,918.65	Professional		$441.68	$838.26	$1,918.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $831.01 / $1,175.27	Facility		$614.00	$831.01	$1,175.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $664.89 / $899.11 / $1,175.27	Professional		$664.89	$899.11	$1,175.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $942.00	Professional		$6.00	$6.00	$942.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.67 / $677.91 / $1,127.59	Professional		$415.67	$677.91	$1,127.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $729.70 / $729.70 / $858.40	Professional		$729.70	$729.70	$858.40