Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.08 / $3,789.00 / $7,119.04	Facility		$1,298.08	$3,789.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.24 / $719.80 / $1,837.30	Professional		$433.24	$719.80	$1,837.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.31 / $1,245.43 / $1,544.48	Professional		$891.31	$1,245.43	$1,544.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $428.86 / $806.89 / $1,219.93	Professional		$428.86	$806.89	$1,219.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $779.95 / $1,275.55 / $8,073.49	Facility		$779.95	$1,275.55	$8,073.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $1,257.82 / $4,197.28	Professional		$614.00	$1,257.82	$4,197.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $891.31 / $1,376.72 / $2,865.45	Facility		$891.31	$1,376.72	$2,865.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $1,120.07 / $1,493.22	Professional		$768.00	$1,120.07	$1,493.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $495.19 / $896.52 / $3,086.18	Professional		$495.19	$896.52	$3,086.18
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 $571.74 / $1,070.71 / $1,691.97	Professional		$571.74	$1,070.71	$1,691.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $836.50 / $984.20 / $1,213.59	Professional		$836.50	$984.20	$1,213.59