Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $702.94 / $1,048.47	Professional		$508.20	$702.94	$1,048.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.49 / $1,042.26 / $1,234.86	Professional		$839.49	$1,042.26	$1,234.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.73 / $744.56 / $1,421.65	Professional		$445.73	$744.56	$1,421.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.21 / $1,060.60 / $6,047.14	Facility		$719.21	$1,060.60	$6,047.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $574.99 / $1,064.99 / $3,417.68	Professional		$574.99	$1,064.99	$3,417.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $791.86 / $1,060.60 / $1,379.17	Facility		$791.86	$1,060.60	$1,379.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $926.34 / $1,482.91	Professional		$769.00	$926.34	$1,482.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $864.60 / $1,182.00	Professional		$10.00	$864.60	$1,182.00
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 $516.59 / $925.37 / $1,462.31	Professional		$516.59	$925.37	$1,462.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.20 / $600.20 / $706.10	Professional		$600.20	$600.20	$706.10