Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $713.34 / $1,312.38	Professional		$129.91	$713.34	$1,312.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $675.92 / $2,165.92	Professional		$173.76	$675.92	$2,165.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $862.30 / $1,467.73	Professional		$125.19	$862.30	$1,467.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $1,246.63 / $2,479.32	Facility		$251.84	$1,246.63	$2,479.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $819.80 / $1,842.46 / $5,607.84	Professional		$819.80	$1,842.46	$5,607.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.21 / $916.95 / $2,165.92	Facility		$329.21	$916.95	$2,165.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $1,496.96 / $2,318.21	Professional		$291.13	$1,496.96	$2,318.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,760.90 / $2,211.90	Professional		$4.00	$1,760.90	$2,211.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,559.00 / $4,878.97 / $7,305.00	Facility		$2,559.00	$4,878.97	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.36 / $1,378.22 / $2,668.69	Professional		$900.36	$1,378.22	$2,668.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $314.10 / $1,665.50	Professional		$256.70	$314.10	$1,665.50