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 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $466.60 / $777.93	Professional		$291.14	$466.60	$777.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.05 / $895.45 / $1,308.89	Professional		$695.05	$895.45	$1,308.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $287.19 / $619.22 / $1,043.33	Professional		$287.19	$619.22	$1,043.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.99 / $1,039.49 / $5,301.00	Facility		$519.99	$1,039.49	$5,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $1,006.54 / $3,452.96	Professional		$544.91	$1,006.54	$3,452.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $695.05 / $1,006.54 / $1,341.37	Facility		$695.05	$1,006.54	$1,341.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $612.76 / $860.09 / $1,273.05	Professional		$612.76	$860.09	$1,273.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $898.40 / $1,261.50	Professional		$3.00	$898.40	$1,261.50
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 $495.62 / $918.49 / $1,435.82	Professional		$495.62	$918.49	$1,435.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $566.20 / $666.10 / $964.60	Professional		$566.20	$666.10	$964.60