Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.87 / $807.25 / $2,863.60	Professional		$429.87	$807.25	$2,863.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.98 / $1,063.47 / $1,329.34	Professional		$581.98	$1,063.47	$1,329.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $415.19 / $587.24 / $1,012.07	Professional		$415.19	$587.24	$1,012.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.46 / $1,299.15 / $6,945.09	Facility		$730.46	$1,299.15	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $508.28 / $911.00 / $1,533.46	Professional		$508.28	$911.00	$1,533.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $852.74 / $1,399.51 / $2,428.62	Facility		$852.74	$1,399.51	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $952.19 / $1,258.47	Professional		$689.00	$952.19	$1,258.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.84 / $769.25 / $2,502.31	Professional		$416.84	$769.25	$2,502.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.26 / $707.17 / $1,316.13	Professional		$482.26	$707.17	$1,316.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $687.30 / $951.90 / $1,023.50	Professional		$687.30	$951.90	$1,023.50