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 $401.82 / $658.73 / $716.17	Professional		$401.82	$658.73	$716.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.52 / $1,052.56 / $1,315.71	Professional		$816.52	$1,052.56	$1,315.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $659.78 / $1,375.76	Professional		$417.61	$659.78	$1,375.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.52 / $1,102.90 / $6,267.00	Facility		$596.52	$1,102.90	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.84 / $860.94 / $3,386.64	Professional		$458.84	$860.94	$3,386.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $844.04 / $1,181.44 / $2,961.89	Facility		$844.04	$1,181.44	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $659.99 / $1,001.53 / $1,309.94	Professional		$659.99	$1,001.53	$1,309.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.09 / $799.97 / $3,259.56	Professional		$431.09	$799.97	$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 $435.77 / $667.41 / $1,223.04	Professional		$435.77	$667.41	$1,223.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $706.73 / $894.60 / $1,052.50	Professional		$706.73	$894.60	$1,052.50