Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,277.00 / $6,931.49	Facility		$2,906.00	$4,277.00	$6,931.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $945.68 / $2,944.00	Professional		$583.22	$945.68	$2,944.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.68 / $1,338.43 / $1,829.91	Professional		$731.68	$1,338.43	$1,829.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $866.06 / $1,479.42	Professional		$462.41	$866.06	$1,479.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.53 / $1,305.84 / $5,023.00	Facility		$710.53	$1,305.84	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $706.82 / $1,213.38 / $3,731.68	Professional		$706.82	$1,213.38	$3,731.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,016.00 / $1,471.64 / $1,962.18	Facility		$1,016.00	$1,471.64	$1,962.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,237.35 / $1,711.41	Professional		$930.00	$1,237.35	$1,711.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.81 / $914.36 / $2,021.72	Professional		$500.81	$914.36	$2,021.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.91 / $938.64 / $1,672.47	Professional		$647.91	$938.64	$1,672.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $903.92 / $1,071.40 / $1,346.20	Professional		$903.92	$1,071.40	$1,346.20