Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $1,354.70 / $2,294.42	Professional		$54.42	$1,354.70	$2,294.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $1,082.64 / $3,752.34	Professional		$82.59	$1,082.64	$3,752.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $1,124.10 / $2,394.98	Professional		$40.27	$1,124.10	$2,394.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $2,294.42 / $4,663.00	Facility		$110.44	$2,294.42	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $2,440.85 / $4,516.49	Professional		$141.22	$2,440.85	$4,516.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.44 / $2,486.48 / $3,668.59	Facility		$110.44	$2,486.48	$3,668.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $2,268.21 / $3,668.59	Professional		$110.44	$2,268.21	$3,668.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $82.08 / $2,224.79	Professional		$37.70	$82.08	$2,224.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.80 / $2,088.42 / $4,249.05	Professional		$1,435.80	$2,088.42	$4,249.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $96.40 / $2,791.80	Professional		$82.00	$96.40	$2,791.80