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 $441.47 / $650.21 / $824.47	Professional		$441.47	$650.21	$824.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.78 / $1,131.25 / $1,414.07	Professional		$875.78	$1,131.25	$1,414.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.28 / $710.25 / $1,633.96	Professional		$448.28	$710.25	$1,633.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.95 / $1,203.46 / $7,123.00	Facility		$725.95	$1,203.46	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.58 / $975.28 / $3,631.28	Professional		$496.58	$975.28	$3,631.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $904.26 / $1,282.06 / $2,961.89	Facility		$904.26	$1,282.06	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $715.55 / $1,090.33 / $1,419.22	Professional		$715.55	$1,090.33	$1,419.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $871.92 / $3,259.56	Professional		$473.50	$871.92	$3,259.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.01 / $722.30 / $1,365.55	Professional		$474.01	$722.30	$1,365.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $761.01 / $963.30 / $1,133.30	Professional		$761.01	$963.30	$1,133.30