Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,885.75 / $3,666.78 / $7,119.04	Facility		$2,885.75	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.30 / $584.21 / $762.05	Professional		$393.30	$584.21	$762.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.96 / $1,023.19 / $1,430.62	Professional		$559.96	$1,023.19	$1,430.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.11 / $676.95 / $1,236.74	Professional		$357.11	$676.95	$1,236.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.21 / $1,023.19 / $7,123.00	Facility		$584.21	$1,023.19	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $975.21 / $2,865.44	Professional		$578.48	$975.21	$2,865.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.33 / $1,195.09 / $2,256.42	Facility		$849.33	$1,195.09	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.93 / $1,010.84 / $1,361.51	Professional		$741.93	$1,010.84	$1,361.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $697.70 / $2,471.88	Professional		$376.01	$697.70	$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 $530.22 / $771.31 / $1,414.20	Professional		$530.22	$771.31	$1,414.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.90 / $814.00 / $1,058.80	Professional		$691.90	$814.00	$1,058.80