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 $295.06 / $482.48 / $977.04	Professional		$295.06	$482.48	$977.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.80 / $872.59 / $1,386.80	Professional		$597.80	$872.59	$1,386.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.48 / $654.60 / $1,175.53	Professional		$304.48	$654.60	$1,175.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.82 / $854.50 / $3,416.04	Facility		$490.82	$854.50	$3,416.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $920.92 / $3,479.67	Professional		$490.10	$920.92	$3,479.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $700.29 / $1,043.32 / $1,331.66	Facility		$700.29	$1,043.32	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.44 / $880.27 / $1,262.88	Professional		$618.44	$880.27	$1,262.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $576.82 / $1,459.54	Professional		$313.22	$576.82	$1,459.54
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 $465.76 / $709.73 / $1,321.87	Professional		$465.76	$709.73	$1,321.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $708.20 / $1,097.00	Professional		$602.00	$708.20	$1,097.00