Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,011.87 / $7,943.28	Facility		$1,000.00	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,513.56	Professional		$549.54	$707.95	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,380.38 / $1,778.28	Professional		$562.34	$1,380.38	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $2,089.30	Professional		$436.52	$724.44	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,778.28	Facility		$630.96	$1,258.93	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $4,265.80	Professional		$691.83	$1,348.96	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,584.89	Professional		$1,148.15	$1,380.38	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,258.93	Professional		$501.19	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,659.59	Professional		$602.56	$870.96	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,318.26	Professional		$891.25	$1,174.90	$1,318.26