Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $6,446.00	Facility		$2,906.00	$4,235.59	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.87 / $436.09 / $1,254.08	Professional		$289.87	$436.09	$1,254.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $807.34 / $1,080.63	Professional		$421.12	$807.34	$1,080.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $507.04 / $960.08	Professional		$267.45	$507.04	$960.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.09 / $819.99 / $7,123.00	Facility		$436.09	$819.99	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.09 / $730.20 / $2,139.76	Professional		$461.09	$730.20	$2,139.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $636.82 / $953.00 / $2,256.42	Facility		$636.82	$953.00	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $553.63 / $756.57 / $1,096.49	Professional		$553.63	$756.57	$1,096.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.93 / $524.11 / $2,471.88	Professional		$282.93	$524.11	$2,471.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.66 / $576.36 / $1,075.74	Professional		$422.66	$576.36	$1,075.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.79 / $610.29 / $851.60	Professional		$518.79	$610.29	$851.60