Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.69 / $959.08 / $3,726.98	Professional		$692.69	$959.08	$3,726.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.01 / $1,691.43 / $2,114.28	Professional		$741.01	$1,691.43	$2,114.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $723.99 / $1,140.56 / $2,411.42	Professional		$723.99	$1,140.56	$2,411.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.03 / $1,527.30 / $3,825.00	Facility		$815.03	$1,527.30	$3,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.92 / $1,584.84 / $5,666.96	Professional		$818.92	$1,584.84	$5,666.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,091.13 / $1,618.39 / $2,155.54	Facility		$1,091.13	$1,618.39	$2,155.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,091.13 / $1,618.39 / $2,128.98	Professional		$1,091.13	$1,618.39	$2,128.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,335.00 / $1,750.70	Professional		$7.00	$1,335.00	$1,750.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.67 / $1,119.45 / $2,221.51	Professional		$750.67	$1,119.45	$2,221.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,200.56 / $1,519.70 / $1,787.80	Professional		$1,200.56	$1,519.70	$1,787.80