Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.83 / $665.72 / $1,077.14	Professional		$469.83	$665.72	$1,077.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.95 / $1,266.04 / $1,582.55	Professional		$950.95	$1,266.04	$1,582.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $486.12 / $766.98 / $1,531.63	Professional		$486.12	$766.98	$1,531.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.36 / $1,262.13 / $4,645.00	Facility		$801.36	$1,262.13	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $530.46 / $993.82 / $4,064.08	Professional		$530.46	$993.82	$4,064.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,015.97 / $1,313.37 / $1,719.96	Facility		$1,015.97	$1,313.37	$1,719.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $738.87 / $1,113.95 / $1,494.04	Professional		$738.87	$1,113.95	$1,494.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.99 / $953.71 / $1,729.73	Professional		$523.99	$953.71	$1,729.73
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 $503.99 / $771.58 / $1,437.08	Professional		$503.99	$771.58	$1,437.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $837.56 / $1,060.20 / $1,247.30	Professional		$837.56	$1,060.20	$1,247.30