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 $393.11 / $620.03 / $742.20	Professional		$393.11	$620.03	$742.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.00 / $1,096.19 / $1,370.24	Professional		$770.00	$1,096.19	$1,370.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $410.42 / $663.65 / $1,491.63	Professional		$410.42	$663.65	$1,491.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.41 / $1,053.40 / $1,966.00	Facility		$613.41	$1,053.40	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.02 / $945.71 / $3,206.56	Professional		$476.02	$945.71	$3,206.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $936.56 / $1,062.63 / $1,597.11	Facility		$936.56	$1,062.63	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $1,031.75 / $1,273.05	Professional		$740.00	$1,031.75	$1,273.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $786.25 / $1,727.45	Professional		$434.58	$786.25	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,101.36 / $4,110.10	Facility		$1,341.00	$2,101.36	$4,110.10
United Facility/Professional Professional Modifier Low / Median / High Price $452.22 / $689.97 / $1,285.07	Professional		$452.22	$689.97	$1,285.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $737.15 / $933.10 / $1,097.80	Professional		$737.15	$933.10	$1,097.80