Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.44 / $476.00 / $1,096.58	Professional		$228.44	$476.00	$1,096.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $536.79 / $2,078.25	Professional		$384.10	$536.79	$2,078.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $963.27 / $2,862.50	Professional		$161.94	$963.27	$2,862.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.25 / $1,717.68 / $7,407.10	Facility		$428.25	$1,717.68	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.97 / $1,634.01 / $8,718.02	Professional		$459.97	$1,634.01	$8,718.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $415.91 / $1,601.64 / $3,170.91	Facility		$415.91	$1,601.64	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $399.71 / $1,231.44 / $2,022.47	Professional		$399.71	$1,231.44	$2,022.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,358.00 / $2,099.69	Professional		$3.00	$1,358.00	$2,099.69
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 $788.65 / $1,634.01 / $2,421.15	Professional		$788.65	$1,634.01	$2,421.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $392.60 / $1,601.40	Professional		$333.70	$392.60	$1,601.40