Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $6,446.00	Facility		$2,234.00	$3,795.64	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $808.49 / $1,547.58	Professional		$63.82	$808.49	$1,547.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $1,782.38 / $2,432.73	Professional		$111.41	$1,782.38	$2,432.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $1,058.27 / $1,886.05	Professional		$66.00	$1,058.27	$1,886.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $1,371.00 / $2,396.26	Facility		$111.21	$1,371.00	$2,396.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $2,165.34 / $3,384.77	Professional		$142.22	$2,165.34	$3,384.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $1,586.63 / $2,733.00	Facility		$123.94	$1,586.63	$2,733.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $1,603.55 / $2,664.73	Professional		$109.89	$1,603.55	$2,664.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.40 / $1,289.40 / $2,505.00	Professional		$1,289.40	$1,289.40	$2,505.00
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 $1,062.49 / $1,954.44 / $3,007.57	Professional		$1,062.49	$1,954.44	$3,007.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $114.00 / $1,849.00	Professional		$96.90	$114.00	$1,849.00