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 $397.25 / $509.67 / $754.37	Professional		$397.25	$509.67	$754.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.42 / $1,107.88 / $1,384.85	Professional		$805.42	$1,107.88	$1,384.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.97 / $696.41 / $1,376.39	Professional		$412.97	$696.41	$1,376.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $673.05 / $1,073.33 / $3,984.48	Facility		$673.05	$1,073.33	$3,984.48
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,414.67 / $1,414.67 / $1,414.67	Facility	54	$1,414.67	$1,414.67	$1,414.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.49 / $971.62 / $3,421.89	Professional		$495.49	$971.62	$3,421.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $1,073.33 / $1,597.11	Facility		$937.40	$1,073.33	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $779.96 / $1,053.23 / $1,294.67	Professional		$779.96	$1,053.23	$1,294.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.31 / $811.56 / $1,727.45	Professional		$440.31	$811.56	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.80 / $703.70 / $1,310.63	Professional		$461.80	$703.70	$1,310.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $746.31 / $944.70 / $1,111.40	Professional		$746.31	$944.70	$1,111.40