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 $194.05 / $748.68 / $1,347.22	Professional		$194.05	$748.68	$1,347.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.85 / $718.45 / $2,234.07	Professional		$259.85	$718.45	$2,234.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $980.52 / $1,899.95	Professional		$189.21	$980.52	$1,899.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.46 / $1,347.04 / $2,667.05	Facility		$384.46	$1,347.04	$2,667.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.22 / $1,932.05 / $5,779.92	Professional		$833.22	$1,932.05	$5,779.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $493.92 / $1,193.67 / $2,209.06	Facility		$493.92	$1,193.67	$2,209.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $1,586.54 / $2,358.73	Professional		$446.13	$1,586.54	$2,358.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,826.00 / $2,245.19	Professional		$4.00	$1,826.00	$2,245.19
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 $916.54 / $1,444.36 / $2,712.38	Professional		$916.54	$1,444.36	$2,712.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $481.30 / $1,714.60	Professional		$393.40	$481.30	$1,714.60