Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.59 / $2,546.00 / $6,446.00	Facility		$953.59	$2,546.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.82 / $1,027.43 / $1,960.45	Professional		$372.82	$1,027.43	$1,960.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.96 / $952.45 / $2,460.98	Professional		$761.96	$952.45	$2,460.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $1,170.81 / $2,789.20	Professional		$319.27	$1,170.81	$2,789.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.94 / $1,986.80 / $7,407.10	Facility		$801.94	$1,986.80	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.14 / $1,986.80 / $7,358.63	Professional		$901.14	$1,986.80	$7,358.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.65 / $1,986.80 / $3,170.91	Facility		$815.65	$1,986.80	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $783.83 / $1,587.34 / $2,386.37	Professional		$783.83	$1,587.34	$2,386.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,479.20 / $2,428.50	Professional		$3.00	$1,479.20	$2,428.50
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 $950.21 / $1,918.85 / $2,689.76	Professional		$950.21	$1,918.85	$2,689.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $659.70 / $776.10 / $1,916.90	Professional		$659.70	$776.10	$1,916.90