Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $618.36 / $670.73	Professional		$373.27	$618.36	$670.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.24 / $977.77 / $1,222.21	Professional		$760.24	$977.77	$1,222.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.44 / $626.20 / $1,294.98	Professional		$393.44	$626.20	$1,294.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.73 / $1,051.78 / $7,896.02	Facility		$670.73	$1,051.78	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.49 / $806.11 / $4,616.50	Professional		$427.49	$806.11	$4,616.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $788.47 / $1,111.98 / $2,961.89	Facility		$788.47	$1,111.98	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $617.24 / $942.10 / $1,232.18	Professional		$617.24	$942.10	$1,232.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $771.49 / $3,259.56	Professional		$417.07	$771.49	$3,259.56
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 $408.06 / $621.80 / $1,158.11	Professional		$408.06	$621.80	$1,158.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.63 / $841.30 / $989.80	Professional		$664.63	$841.30	$989.80