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 $421.16 / $631.22 / $1,422.46	Professional		$421.16	$631.22	$1,422.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.31 / $1,018.59 / $1,152.95	Professional		$905.31	$1,018.59	$1,152.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.95 / $641.33 / $1,460.96	Professional		$392.95	$641.33	$1,460.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.52 / $972.08 / $5,847.00	Facility		$596.52	$972.08	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $945.93 / $3,075.36	Professional		$483.36	$945.93	$3,075.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.16 / $936.68 / $1,205.51	Facility		$614.16	$936.68	$1,205.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $614.16 / $936.68 / $1,205.51	Professional		$614.16	$936.68	$1,205.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $750.40 / $1,071.50	Professional		$4.00	$750.40	$1,071.50
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 $451.57 / $879.84 / $1,272.43	Professional		$451.57	$879.84	$1,272.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $811.40 / $811.40 / $954.60	Professional		$811.40	$811.40	$954.60