Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.20 / $589.60 / $637.88	Professional		$371.20	$589.60	$637.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.00 / $917.00 / $1,146.25	Professional		$731.00	$917.00	$1,146.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.50 / $580.70 / $1,236.72	Professional		$375.50	$580.70	$1,236.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.26 / $995.18 / $4,697.76	Facility		$576.26	$995.18	$4,697.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.05 / $782.46 / $2,999.60	Professional		$413.05	$782.46	$2,999.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $1,032.17 / $1,844.64	Facility		$748.07	$1,032.17	$1,844.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $886.46 / $1,188.35	Professional		$599.95	$886.46	$1,188.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $691.03 / $2,234.67	Professional		$372.32	$691.03	$2,234.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.14 / $596.02 / $1,110.08	Professional		$391.14	$596.02	$1,110.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $617.54 / $781.70 / $919.60	Professional		$617.54	$781.70	$919.60