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 $381.83 / $587.24 / $2,231.39	Professional		$381.83	$587.24	$2,231.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.63 / $930.25 / $1,260.11	Professional		$452.63	$930.25	$1,260.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $646.62 / $1,406.54	Professional		$386.50	$646.62	$1,406.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $881.15 / $3,044.00	Facility		$525.61	$881.15	$3,044.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.51 / $936.28 / $3,122.40	Professional		$470.51	$936.28	$3,122.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $670.23 / $949.77 / $1,342.13	Facility		$670.23	$949.77	$1,342.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $949.77 / $1,262.55	Professional		$611.00	$949.77	$1,262.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $766.80 / $1,089.20	Professional		$7.00	$766.80	$1,089.20
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 $448.56 / $758.40 / $1,320.22	Professional		$448.56	$758.40	$1,320.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $661.63 / $837.50 / $985.30	Professional		$661.63	$837.50	$985.30