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 $258.33 / $1,725.42 / $2,705.22	Professional		$258.33	$1,725.42	$2,705.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $1,949.33 / $5,225.81	Professional		$383.32	$1,949.33	$5,225.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.11 / $2,289.53 / $3,424.63	Professional		$226.11	$2,289.53	$3,424.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.60 / $2,031.71 / $4,372.75	Facility		$371.60	$2,031.71	$4,372.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $4,297.41 / $6,644.22	Professional		$466.14	$4,297.41	$6,644.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $431.13 / $3,324.51 / $5,732.60	Facility		$431.13	$3,324.51	$5,732.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $382.10 / $3,324.51 / $5,284.86	Professional		$382.10	$3,324.51	$5,284.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,295.80 / $5,295.80 / $5,295.80	Professional		$5,295.80	$5,295.80	$5,295.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,083.63 / $4,141.70 / $5,780.73	Professional		$2,083.63	$4,141.70	$5,780.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.90 / $396.40 / $3,986.40	Professional		$336.90	$396.40	$3,986.40