Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.56 / $451.58 / $452.85	Professional		$368.56	$451.58	$452.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.59 / $918.31 / $1,035.23	Professional		$816.59	$918.31	$1,035.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $586.11 / $1,365.68	Professional		$342.97	$586.11	$1,365.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.21 / $1,004.02 / $14,525.55	Facility		$663.21	$1,004.02	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.60 / $854.41 / $2,806.88	Professional		$437.60	$854.41	$2,806.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,092.18 / $5,275.65	Facility		$625.00	$1,092.18	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $816.59 / $1,092.18	Professional		$564.00	$816.59	$1,092.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $658.90 / $946.50	Professional		$6.00	$658.90	$946.50
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $406.02 / $660.22 / $1,149.32	Professional		$406.02	$660.22	$1,149.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.40 / $707.40 / $832.20	Professional		$707.40	$707.40	$832.20