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 $358.92 / $565.85 / $652.58	Professional		$358.92	$565.85	$652.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.35 / $958.29 / $1,197.86	Professional		$743.35	$958.29	$1,197.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $383.06 / $588.03 / $1,561.13	Professional		$383.06	$588.03	$1,561.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.99 / $1,004.97 / $5,567.24	Facility		$528.99	$1,004.97	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.39 / $760.70 / $3,090.16	Professional		$418.39	$760.70	$3,090.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $1,048.91 / $2,961.89	Facility		$689.00	$1,048.91	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $910.07 / $1,190.33	Professional		$571.37	$910.07	$1,190.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.78 / $749.34 / $3,259.56	Professional		$405.78	$749.34	$3,259.56
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 $399.37 / $608.55 / $1,238.15	Professional		$399.37	$608.55	$1,238.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $648.91 / $821.40 / $966.40	Professional		$648.91	$821.40	$966.40