Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.66 / $795.17 / $862.47	Professional		$480.66	$795.17	$862.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.91 / $1,246.56 / $1,558.20	Professional		$934.91	$1,246.56	$1,558.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $507.19 / $780.27 / $1,740.11	Professional		$507.19	$780.27	$1,740.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.07 / $1,224.16 / $6,036.00	Facility		$601.07	$1,224.16	$6,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $1,043.74 / $3,772.86	Professional		$561.48	$1,043.74	$3,772.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.91 / $1,224.16 / $1,593.78	Facility		$934.91	$1,224.16	$1,593.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $799.03 / $1,218.54 / $1,593.78	Professional		$799.03	$1,218.54	$1,593.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $523.53 / $961.69 / $1,729.73	Professional		$523.53	$961.69	$1,729.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.96 / $765.66 / $1,487.72	Professional		$535.96	$765.66	$1,487.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $852.73 / $1,079.40 / $1,269.90	Professional		$852.73	$1,079.40	$1,269.90