Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.33 / $830.11 / $1,225.18	Professional		$540.33	$830.11	$1,225.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.82 / $1,323.69 / $1,654.61	Professional		$577.82	$1,323.69	$1,654.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $564.54 / $889.10 / $2,368.33	Professional		$564.54	$889.10	$2,368.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.36 / $1,355.59 / $7,915.44	Facility		$783.36	$1,355.59	$7,915.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.86 / $1,300.51 / $4,724.88	Professional		$661.86	$1,300.51	$4,724.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $1,636.95 / $3,162.53	Facility		$934.00	$1,636.95	$3,162.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,345.70 / $1,772.31	Professional		$855.00	$1,345.70	$1,772.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.36 / $1,138.24 / $3,472.60	Professional		$608.36	$1,138.24	$3,472.60
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 $625.64 / $910.02 / $1,851.48	Professional		$625.64	$910.02	$1,851.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $937.41 / $1,186.59 / $1,396.00	Professional		$937.41	$1,186.59	$1,396.00