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 $405.39 / $622.77 / $2,367.14	Professional		$405.39	$622.77	$2,367.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.02 / $984.00 / $1,232.22	Professional		$509.02	$984.00	$1,232.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.71 / $687.87 / $1,491.33	Professional		$424.71	$687.87	$1,491.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.40 / $1,028.45 / $7,405.00	Facility		$631.40	$1,028.45	$7,405.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.09 / $985.80 / $3,888.00	Professional		$517.09	$985.80	$3,888.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,218.86 / $3,018.60	Facility		$750.00	$1,218.86	$3,018.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $1,008.00 / $1,341.60	Professional		$683.24	$1,008.00	$1,341.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $780.30 / $1,154.59	Professional		$7.00	$780.30	$1,154.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.00 / $765.85 / $1,402.74	Professional		$474.00	$765.85	$1,402.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $702.15 / $888.80 / $1,045.70	Professional		$702.15	$888.80	$1,045.70