Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.26 / $637.40 / $637.40	Professional		$404.26	$637.40	$637.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $1,116.05 / $1,268.24	Professional		$901.29	$1,116.05	$1,268.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $710.37 / $1,071.91	Professional		$433.36	$710.37	$1,071.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.84 / $1,111.33 / $5,847.00	Facility		$742.84	$1,111.33	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.78 / $1,013.45 / $3,535.02	Professional		$500.78	$1,013.45	$3,535.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.15 / $1,002.71 / $1,311.46	Facility		$645.15	$1,002.71	$1,311.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $629.21 / $1,002.71 / $1,311.46	Professional		$629.21	$1,002.71	$1,311.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $848.40 / $1,186.80	Professional		$9.00	$848.40	$1,186.80
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 $479.92 / $859.68 / $1,358.50	Professional		$479.92	$859.68	$1,358.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $925.40 / $925.40 / $1,088.70	Professional		$925.40	$925.40	$1,088.70