Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,421.00 / $4,917.20 / $8,042.03	Facility		$3,421.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.33 / $425.37 / $1,705.27	Professional		$375.33	$425.37	$1,705.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.49 / $827.52 / $1,032.30	Professional		$680.49	$827.52	$1,032.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $506.46 / $1,846.05	Professional		$289.25	$506.46	$1,846.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.65 / $1,032.94 / $12,013.25	Facility		$624.65	$1,032.94	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.40 / $734.35 / $4,770.00	Professional		$416.40	$734.35	$4,770.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $653.66 / $946.61 / $4,164.35	Facility		$653.66	$946.61	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.97 / $723.74 / $953.50	Professional		$535.97	$723.74	$953.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $687.50 / $828.40	Professional		$4.00	$687.50	$828.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.14 / $702.34 / $987.82	Professional		$364.14	$702.34	$987.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $589.50 / $589.50 / $693.50	Professional		$589.50	$589.50	$693.50