Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $1,003.25 / $1,049.96	Professional		$534.74	$1,003.25	$1,049.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.42 / $1,317.46 / $1,722.78	Professional		$619.42	$1,317.46	$1,722.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.02 / $751.07 / $1,357.68	Professional		$435.02	$751.07	$1,357.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.26 / $1,245.26 / $1,774.43	Facility		$630.26	$1,245.26	$1,774.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.02 / $1,300.57 / $4,296.16	Professional		$679.02	$1,300.57	$4,296.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $1,145.28 / $1,593.71	Facility		$249.33	$1,145.28	$1,593.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $919.32 / $1,340.69 / $1,741.52	Professional		$919.32	$1,340.69	$1,741.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.99 / $822.60 / $1,084.67	Professional		$344.99	$822.60	$1,084.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.20 / $858.57 / $1,699.10	Professional		$614.20	$858.57	$1,699.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $890.01 / $1,180.20 / $1,325.40	Professional		$890.01	$1,180.20	$1,325.40