Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,259.25 / $7,119.04	Facility		$1,300.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $699.74 / $1,300.22	Professional		$209.83	$699.74	$1,300.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $1,463.16 / $2,129.86	Professional		$352.26	$1,463.16	$2,129.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.88 / $850.21 / $1,613.31	Professional		$149.88	$850.21	$1,613.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.80 / $1,466.15 / $5,467.65	Facility		$394.80	$1,466.15	$5,467.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $425.15 / $1,671.86 / $5,505.44	Professional		$425.15	$1,671.86	$5,505.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $382.10 / $1,180.64 / $1,979.28	Facility		$382.10	$1,180.64	$1,979.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $1,340.85 / $2,028.47	Professional		$352.26	$1,340.85	$2,028.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,427.80 / $2,113.69	Professional		$3.00	$1,427.80	$2,113.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.37 / $1,432.34 / $2,263.44	Professional		$834.37	$1,432.34	$2,263.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $365.40 / $1,636.80	Professional		$310.60	$365.40	$1,636.80