Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.79 / $792.59 / $3,166.58	Professional		$584.79	$792.59	$3,166.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.15 / $1,466.27 / $1,832.83	Professional		$717.15	$1,466.27	$1,832.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $919.84 / $2,257.40	Professional		$484.57	$919.84	$2,257.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.17 / $1,304.08 / $4,882.38	Facility		$676.17	$1,304.08	$4,882.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.14 / $1,266.57 / $3,929.76	Professional		$720.14	$1,266.57	$3,929.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $560.36 / $1,185.09 / $1,598.74	Facility		$560.36	$1,185.09	$1,598.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,021.22 / $1,363.37 / $1,685.72	Professional		$1,021.22	$1,363.37	$1,685.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $765.49 / $1,176.42	Professional		$495.55	$765.49	$1,176.42
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 $664.32 / $966.29 / $1,778.14	Professional		$664.32	$966.29	$1,778.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $901.63 / $1,115.30 / $1,342.70	Professional		$901.63	$1,115.30	$1,342.70