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 $418.59 / $523.96 / $775.24	Professional		$418.59	$523.96	$775.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.21 / $1,140.59 / $1,425.75	Professional		$829.21	$1,140.59	$1,425.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $709.17 / $1,222.53	Professional		$435.70	$709.17	$1,222.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $1,024.02 / $1,310.16	Facility		$495.00	$1,024.02	$1,310.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $1,005.94 / $3,427.90	Professional		$502.18	$1,005.94	$3,427.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.58 / $1,024.02 / $1,315.70	Facility		$207.58	$1,024.02	$1,315.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $799.25 / $1,079.27 / $1,329.50	Professional		$799.25	$1,079.27	$1,329.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $728.32 / $946.41	Professional		$269.32	$728.32	$946.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.74 / $732.23 / $1,338.85	Professional		$471.74	$732.23	$1,338.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $766.54 / $970.30 / $1,141.59	Professional		$766.54	$970.30	$1,141.59