Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.39 / $561.12 / $747.92	Professional		$394.39	$561.12	$747.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.68 / $1,040.18 / $1,387.77	Professional		$779.68	$1,040.18	$1,387.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $412.10 / $667.73 / $1,116.23	Professional		$412.10	$667.73	$1,116.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.90 / $1,040.18 / $1,966.00	Facility		$617.90	$1,040.18	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $930.69 / $3,220.08	Professional		$477.10	$930.69	$3,220.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $783.03 / $1,066.99 / $1,597.11	Facility		$783.03	$1,066.99	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $751.00 / $981.78 / $1,298.27	Professional		$751.00	$981.78	$1,298.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.08 / $786.42 / $1,727.45	Professional		$434.08	$786.42	$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 $453.25 / $692.03 / $1,297.56	Professional		$453.25	$692.03	$1,297.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $744.26 / $942.10 / $1,108.30	Professional		$744.26	$942.10	$1,108.30