Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,731.57 / $7,119.04	Facility		$2,906.00	$4,731.57	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $657.12 / $1,171.21	Professional		$483.06	$657.12	$1,171.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.57 / $1,213.83 / $1,517.30	Professional		$944.57	$1,213.83	$1,517.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $747.21 / $1,640.58	Professional		$489.26	$747.21	$1,640.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.05 / $1,280.83 / $4,324.56	Facility		$831.05	$1,280.83	$4,324.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $546.46 / $1,075.67 / $4,377.56	Professional		$546.46	$1,075.67	$4,377.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $921.92 / $1,182.67 / $1,563.53	Facility		$921.92	$1,182.67	$1,563.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $1,182.67 / $1,563.53	Professional		$792.99	$1,182.67	$1,563.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,433.17 / $3,433.17 / $3,433.17	Facility		$3,433.17	$3,433.17	$3,433.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $517.67 / $953.28 / $1,470.47	Professional		$517.67	$953.28	$1,470.47
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 $518.74 / $794.85 / $1,480.40	Professional		$518.74	$794.85	$1,480.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $823.81 / $1,042.80 / $1,226.90	Professional		$823.81	$1,042.80	$1,226.90