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 $304.58 / $489.74 / $770.24	Professional		$304.58	$489.74	$770.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.79 / $951.48 / $1,345.67	Professional		$645.79	$951.48	$1,345.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $633.19 / $1,110.73	Professional		$331.63	$633.19	$1,110.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $522.27 / $909.53 / $5,567.24	Facility		$522.27	$909.53	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $959.47 / $3,193.71	Professional		$514.04	$959.47	$3,193.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $728.53 / $1,060.40 / $2,932.27	Facility		$728.53	$1,060.40	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $909.53 / $1,301.88	Professional		$665.00	$909.53	$1,301.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $594.40 / $3,254.15	Professional		$324.56	$594.40	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.68 / $747.70 / $1,392.58	Professional		$490.68	$747.70	$1,392.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $755.80 / $1,100.00	Professional		$642.40	$755.80	$1,100.00