Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.69 / $945.48 / $3,574.64	Professional		$614.69	$945.48	$3,574.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.22 / $1,508.34 / $1,885.42	Professional		$661.22	$1,508.34	$1,885.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.77 / $1,036.75 / $2,201.55	Professional		$645.77	$1,036.75	$2,201.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.04 / $1,486.66 / $3,646.05	Facility		$897.04	$1,486.66	$3,646.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $765.65 / $1,480.26 / $9,818.02	Professional		$765.65	$1,480.26	$9,818.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.93 / $1,486.66 / $2,150.01	Facility		$1,000.93	$1,486.66	$2,150.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $1,486.66 / $2,016.23	Professional		$1,000.93	$1,486.66	$2,016.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $696.27 / $1,094.95 / $1,397.94	Professional		$696.27	$1,094.95	$1,397.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.29 / $1,038.96 / $2,113.83	Professional		$714.29	$1,038.96	$2,113.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,070.77 / $1,355.40 / $1,594.60	Professional		$1,070.77	$1,355.40	$1,594.60