Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.06 / $587.96 / $601.96	Professional		$346.06	$587.96	$601.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $869.72 / $1,078.08	Professional		$687.00	$869.72	$1,078.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $571.23 / $1,210.24	Professional		$361.33	$571.23	$1,210.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.96 / $942.00 / $7,896.02	Facility		$601.96	$942.00	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $753.54 / $4,725.46	Professional		$401.69	$753.54	$4,725.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $700.63 / $1,030.82 / $2,961.89	Facility		$700.63	$1,030.82	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $573.72 / $869.72 / $1,145.07	Professional		$573.72	$869.72	$1,145.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $728.38 / $3,259.56	Professional		$400.14	$728.38	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.43 / $584.27 / $1,088.21	Professional		$383.43	$584.27	$1,088.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $605.85 / $766.90 / $902.20	Professional		$605.85	$766.90	$902.20