Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $5,549.00 / $11,100.08	Facility		$649.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.24 / $621.57 / $839.53	Professional		$369.24	$621.57	$839.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.28 / $956.83 / $1,132.53	Professional		$779.28	$956.83	$1,132.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $615.05 / $936.40	Professional		$384.30	$615.05	$936.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.57 / $1,003.00 / $5,847.00	Facility		$663.57	$1,003.00	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.23 / $917.49 / $3,074.35	Professional		$458.23	$917.49	$3,074.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $582.16 / $872.42 / $1,172.80	Facility		$582.16	$872.42	$1,172.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $582.16 / $872.42 / $1,149.39	Professional		$582.16	$872.42	$1,149.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $653.60 / $1,064.00	Professional		$3.00	$653.60	$1,064.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.84 / $786.63 / $1,243.07	Professional		$437.84	$786.63	$1,243.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.90 / $796.90 / $937.50	Professional		$796.90	$796.90	$937.50