Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.00 / $3,576.15 / $7,119.04	Facility		$2,293.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $339.21 / $1,008.95	Professional		$60.67	$339.21	$1,008.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $362.80 / $1,666.23	Professional		$82.93	$362.80	$1,666.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $721.22 / $974.54	Professional		$60.63	$721.22	$974.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $959.02 / $2,102.88	Facility		$121.44	$959.02	$2,102.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.54 / $1,403.05 / $4,312.47	Professional		$616.54	$1,403.05	$4,312.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $916.95 / $1,666.23	Facility		$157.05	$916.95	$1,666.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $1,112.74 / $1,721.91	Professional		$141.19	$1,112.74	$1,721.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,321.60 / $1,712.70	Professional		$4.00	$1,321.60	$1,712.70
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 $677.04 / $1,036.53 / $2,007.06	Professional		$677.04	$1,036.53	$2,007.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $152.30 / $1,280.50	Professional		$124.50	$152.30	$1,280.50