Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $174.29 / $931.22	Professional		$82.72	$174.29	$931.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $321.00 / $1,756.09	Professional		$127.02	$321.00	$1,756.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $487.58 / $968.09	Professional		$87.05	$487.58	$968.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $270.13 / $1,573.76	Facility		$100.00	$270.13	$1,573.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $814.98 / $4,646.85	Professional		$241.40	$814.98	$4,646.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $655.53 / $1,546.92	Facility		$115.50	$655.53	$1,546.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $349.15 / $1,546.92	Professional		$141.79	$349.15	$1,546.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $551.29 / $1,195.25	Professional		$82.90	$551.29	$1,195.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.50 / $750.77 / $1,241.85	Professional		$325.50	$750.77	$1,241.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $222.10 / $1,552.70	Professional		$181.50	$222.10	$1,552.70