Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.39 / $638.15 / $638.15	Professional		$379.39	$638.15	$638.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.31 / $1,030.89 / $1,162.56	Professional		$902.31	$1,030.89	$1,162.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.15 / $658.49 / $1,129.68	Professional		$394.15	$658.49	$1,129.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.02 / $1,030.89 / $5,847.00	Facility		$707.02	$1,030.89	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.85 / $933.08 / $3,112.72	Professional		$464.85	$933.08	$3,112.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $589.86 / $902.31 / $1,177.33	Facility		$589.86	$902.31	$1,177.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $589.86 / $902.31 / $1,177.33	Professional		$589.86	$902.31	$1,177.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $723.10 / $1,092.40	Professional		$4.00	$723.10	$1,092.40
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 $443.41 / $794.27 / $1,255.15	Professional		$443.41	$794.27	$1,255.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $818.90 / $818.90 / $963.50	Professional		$818.90	$818.90	$963.50