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 $517.85 / $971.51 / $2,546.00	Professional		$517.85	$971.51	$2,546.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.83 / $1,281.61 / $1,602.02	Professional		$648.83	$1,281.61	$1,602.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $494.08 / $667.63 / $1,760.72	Professional		$494.08	$667.63	$1,760.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.45 / $1,480.88 / $6,945.09	Facility		$832.45	$1,480.88	$6,945.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.77 / $964.79 / $1,734.25	Professional		$582.77	$964.79	$1,734.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $814.41 / $1,598.00 / $2,428.62	Facility		$814.41	$1,598.00	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $1,086.91 / $1,479.62	Professional		$763.00	$1,086.91	$1,479.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.43 / $917.67 / $2,502.31	Professional		$498.43	$917.67	$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 $555.13 / $825.49 / $1,547.79	Professional		$555.13	$825.49	$1,547.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $823.81 / $1,140.90 / $1,226.80	Professional		$823.81	$1,140.90	$1,226.80