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 $419.45 / $715.65 / $845.42	Professional		$419.45	$715.65	$845.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.44 / $1,237.21 / $1,546.51	Professional		$899.44	$1,237.21	$1,546.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $495.77 / $745.13 / $1,957.68	Professional		$495.77	$745.13	$1,957.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.60 / $998.39 / $1,428.76	Facility		$411.60	$998.39	$1,428.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $518.41 / $973.96 / $3,999.76	Professional		$518.41	$973.96	$3,999.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $994.51 / $1,450.80	Facility		$201.84	$994.51	$1,450.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.25 / $1,106.89 / $1,476.55	Professional		$723.25	$1,106.89	$1,476.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $578.05 / $1,031.83	Professional		$268.38	$578.05	$1,031.83
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 $517.61 / $789.95 / $1,471.29	Professional		$517.61	$789.95	$1,471.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $839.06 / $1,062.09 / $1,249.50	Professional		$839.06	$1,062.09	$1,249.50