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 $459.31 / $730.21 / $867.01	Professional		$459.31	$730.21	$867.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.00 / $1,270.96 / $1,488.03	Professional		$923.00	$1,270.96	$1,488.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.98 / $786.07 / $1,517.23	Professional		$478.98	$786.07	$1,517.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.20 / $1,234.34 / $1,966.00	Facility		$728.20	$1,234.34	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.76 / $1,106.42 / $3,777.76	Professional		$558.76	$1,106.42	$3,777.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,022.73 / $1,241.33 / $1,597.29	Facility		$1,022.73	$1,241.33	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,208.45 / $1,488.03	Professional		$891.00	$1,208.45	$1,488.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $507.62 / $918.40 / $1,727.45	Professional		$507.62	$918.40	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.70 / $808.13 / $1,599.54	Professional		$529.70	$808.13	$1,599.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $859.84 / $1,088.40 / $1,280.50	Professional		$859.84	$1,088.40	$1,280.50