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 $388.90 / $621.22 / $621.22	Professional		$388.90	$621.22	$621.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.62 / $1,034.27 / $1,255.04	Professional		$899.62	$1,034.27	$1,255.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $432.73 / $735.98 / $1,201.58	Professional		$432.73	$735.98	$1,201.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.19 / $1,029.03 / $5,847.00	Facility		$683.19	$1,029.03	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.67 / $1,015.08 / $3,374.85	Professional		$528.67	$1,015.08	$3,374.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $600.67 / $1,005.65 / $1,294.67	Facility		$600.67	$1,005.65	$1,294.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $953.14 / $1,294.67	Professional		$680.00	$953.14	$1,294.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $741.60 / $1,149.50	Professional		$648.40	$741.60	$1,149.50
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 $484.12 / $926.13 / $1,370.38	Professional		$484.12	$926.13	$1,370.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $904.20 / $1,063.80	Professional		$904.20	$904.20	$1,063.80