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 $199.61 / $383.22 / $1,495.89	Professional		$199.61	$383.22	$1,495.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $817.08 / $1,165.73	Professional		$537.75	$817.08	$1,165.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.43 / $570.55 / $1,063.43	Professional		$266.43	$570.55	$1,063.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.51 / $896.23 / $5,847.00	Facility		$538.51	$896.23	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.07 / $868.62 / $4,954.00	Professional		$506.07	$868.62	$4,954.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $629.54 / $932.81 / $4,164.35	Facility		$629.54	$932.81	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.60 / $755.28 / $1,066.48	Professional		$560.60	$755.28	$1,066.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.87 / $525.29 / $4,465.74	Professional		$262.87	$525.29	$4,465.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $756.41 / $1,193.91	Professional		$440.11	$756.41	$1,193.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $545.29 / $641.60 / $901.20	Professional		$545.29	$641.60	$901.20