Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $480.45 / $763.70	Professional		$314.86	$480.45	$763.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $911.55 / $1,284.54	Professional		$721.98	$911.55	$1,284.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.70 / $611.49 / $1,054.36	Professional		$297.70	$611.49	$1,054.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.99 / $1,059.92 / $8,073.49	Facility		$555.99	$1,059.92	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.10 / $994.16 / $3,385.28	Professional		$534.10	$994.16	$3,385.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $702.95 / $1,030.55 / $2,865.45	Facility		$702.95	$1,030.55	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $626.26 / $870.72 / $1,247.83	Professional		$626.26	$870.72	$1,247.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $879.50 / $1,242.00	Professional		$3.00	$879.50	$1,242.00
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 $493.35 / $910.51 / $1,396.52	Professional		$493.35	$910.51	$1,396.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.10 / $691.90 / $952.80	Professional		$588.10	$691.90	$952.80