Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.28 / $675.55 / $789.37	Professional		$430.28	$675.55	$789.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,058.80 / $1,323.50	Professional		$927.18	$1,058.80	$1,323.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $698.23 / $1,783.20	Professional		$444.33	$698.23	$1,783.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.83 / $1,216.16 / $6,034.22	Facility		$741.83	$1,216.16	$6,034.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.66 / $1,022.50 / $4,818.24	Professional		$506.66	$1,022.50	$4,818.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $1,289.54 / $2,256.42	Facility		$974.00	$1,289.54	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $710.79 / $1,062.63 / $1,427.64	Professional		$710.79	$1,062.63	$1,427.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.64 / $841.82 / $2,476.73	Professional		$457.64	$841.82	$2,476.73
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 $456.33 / $869.11 / $1,321.71	Professional		$456.33	$869.11	$1,321.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.46 / $914.50 / $1,075.90	Professional		$722.46	$914.50	$1,075.90