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 $311.38 / $664.44 / $1,264.33	Professional		$311.38	$664.44	$1,264.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.05 / $1,194.74 / $1,668.25	Professional		$497.05	$1,194.74	$1,668.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $799.56 / $2,588.71	Professional		$242.28	$799.56	$2,588.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.03 / $1,441.00 / $7,407.10	Facility		$587.03	$1,441.00	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.11 / $1,409.53 / $9,121.74	Professional		$632.11	$1,409.53	$9,121.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $1,404.41 / $3,170.91	Facility		$580.80	$1,404.41	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $497.05 / $976.02 / $1,667.06	Professional		$497.05	$976.02	$1,667.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $977.90 / $1,642.20	Professional		$5.00	$977.90	$1,642.20
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 $632.11 / $1,276.40 / $1,819.37	Professional		$632.11	$1,276.40	$1,819.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $589.70 / $1,303.90	Professional		$501.20	$589.70	$1,303.90