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 $410.27 / $681.36 / $810.99	Professional		$410.27	$681.36	$810.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.73 / $1,170.21 / $1,462.76	Professional		$869.73	$1,170.21	$1,462.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $465.37 / $738.98 / $1,432.69	Professional		$465.37	$738.98	$1,432.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $680.93 / $1,210.61 / $6,267.00	Facility		$680.93	$1,210.61	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.08 / $935.00 / $3,805.36	Professional		$486.08	$935.00	$3,805.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $946.82 / $1,260.91 / $2,961.89	Facility		$946.82	$1,260.91	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $682.28 / $1,058.83 / $1,391.95	Professional		$682.28	$1,058.83	$1,391.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.34 / $916.56 / $3,259.56	Professional		$494.34	$916.56	$3,259.56
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 $479.69 / $730.96 / $1,361.41	Professional		$479.69	$730.96	$1,361.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $1,000.50 / $1,177.00	Professional		$790.40	$1,000.50	$1,177.00