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 $335.75 / $545.32 / $586.26	Professional		$335.75	$545.32	$586.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.37 / $858.57 / $1,073.21	Professional		$678.37	$858.57	$1,073.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.34 / $545.54 / $1,186.94	Professional		$343.34	$545.54	$1,186.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.26 / $918.67 / $4,873.45	Facility		$586.26	$918.67	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $738.33 / $3,237.25	Professional		$371.21	$738.33	$3,237.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $693.00 / $946.03 / $1,597.29	Facility		$693.00	$946.03	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $543.53 / $834.77 / $1,035.64	Professional		$543.53	$834.77	$1,035.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.78 / $671.62 / $1,729.73	Professional		$363.78	$671.62	$1,729.73
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 $364.46 / $566.57 / $1,078.58	Professional		$364.46	$566.57	$1,078.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $736.10 / $866.00	Professional		$581.52	$736.10	$866.00