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 $382.35 / $617.22 / $659.43	Professional		$382.35	$617.22	$659.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.76 / $958.29 / $1,197.86	Professional		$801.76	$958.29	$1,197.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $618.08 / $1,327.32	Professional		$397.84	$618.08	$1,327.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.43 / $1,072.44 / $4,873.45	Facility		$659.43	$1,072.44	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $841.16 / $3,560.42	Professional		$437.26	$841.16	$3,560.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,105.69 / $1,597.29	Facility		$813.00	$1,105.69	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.12 / $938.86 / $1,221.46	Professional		$616.12	$938.86	$1,221.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.05 / $768.03 / $1,729.73	Professional		$412.05	$768.03	$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 $410.91 / $626.14 / $1,209.49	Professional		$410.91	$626.14	$1,209.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $654.04 / $827.90 / $974.00	Professional		$654.04	$827.90	$974.00