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 $375.77 / $475.97 / $703.78	Professional		$375.77	$475.97	$703.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.44 / $1,016.50 / $1,297.20	Professional		$754.44	$1,016.50	$1,297.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $636.86 / $1,883.42	Professional		$391.73	$636.86	$1,883.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $605.52 / $1,002.29 / $3,258.00	Facility		$605.52	$1,002.29	$3,258.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.19 / $898.17 / $3,075.08	Professional		$451.19	$898.17	$3,075.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $831.35 / $1,016.50 / $1,597.11	Facility		$831.35	$1,016.50	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.63 / $973.09 / $1,207.00	Professional		$720.63	$973.09	$1,207.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.44 / $751.75 / $1,727.45	Professional		$412.44	$751.75	$1,727.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.11 / $653.79 / $1,212.17	Professional		$427.11	$653.79	$1,212.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $696.07 / $881.10 / $1,036.59	Professional		$696.07	$881.10	$1,036.59