Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,514.78 / $7,119.04	Facility		$2,906.00	$4,514.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.69 / $561.72 / $1,747.83	Professional		$342.69	$561.72	$1,747.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.59 / $969.01 / $1,590.34	Professional		$689.59	$969.01	$1,590.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $740.23 / $1,535.80	Professional		$321.52	$740.23	$1,535.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.19 / $927.42 / $3,634.08	Facility		$528.19	$927.42	$3,634.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $574.92 / $1,021.04 / $4,083.04	Professional		$574.92	$1,021.04	$4,083.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $763.52 / $1,126.79 / $1,416.56	Facility		$763.52	$1,126.79	$1,416.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.92 / $993.06 / $1,405.16	Professional		$668.92	$993.06	$1,405.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.97 / $623.70 / $1,459.54	Professional		$337.97	$623.70	$1,459.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $799.90 / $1,587.16	Professional		$524.94	$799.90	$1,587.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $662.90 / $779.90 / $1,249.50	Professional		$662.90	$779.90	$1,249.50