Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,795.64 / $7,119.04	Facility		$2,218.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.04 / $667.35 / $991.68	Professional		$528.04	$667.35	$991.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.04 / $1,455.36 / $1,819.20	Professional		$1,058.04	$1,455.36	$1,819.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $551.29 / $923.36 / $1,704.17	Professional		$551.29	$923.36	$1,704.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.14 / $1,395.36 / $1,966.00	Facility		$871.14	$1,395.36	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.75 / $1,285.38 / $4,571.60	Professional		$658.75	$1,285.38	$4,571.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,402.14 / $1,775.94	Facility		$1,120.00	$1,402.14	$1,775.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,033.33 / $1,395.36 / $1,700.60	Professional		$1,033.33	$1,395.36	$1,700.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $589.20 / $1,063.42 / $1,727.45	Professional		$589.20	$1,063.42	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $609.53 / $928.80 / $1,729.89	Professional		$609.53	$928.80	$1,729.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $985.05 / $1,246.90 / $1,467.00	Professional		$985.05	$1,246.90	$1,467.00