Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,576.15 / $6,446.00	Facility		$1,300.00	$3,576.15	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $534.76 / $808.22	Professional		$311.98	$534.76	$808.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $941.74 / $1,345.67	Professional		$714.55	$941.74	$1,345.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $628.36 / $1,088.70	Professional		$295.22	$628.36	$1,088.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.42 / $1,018.91 / $6,267.00	Facility		$579.42	$1,018.91	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $1,018.91 / $3,491.92	Professional		$509.05	$1,018.91	$3,491.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,035.58 / $2,256.42	Facility		$709.00	$1,035.58	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.72 / $874.74 / $1,232.70	Professional		$636.72	$874.74	$1,232.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $886.40 / $1,271.20	Professional		$5.00	$886.40	$1,271.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,163.00 / $7,305.00	Facility		$2,679.00	$5,163.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.79 / $893.48 / $1,411.92	Professional		$498.79	$893.48	$1,411.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.50 / $733.50 / $1,038.40	Professional		$623.50	$733.50	$1,038.40