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 $319.16 / $518.39 / $774.74	Professional		$319.16	$518.39	$774.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.19 / $989.92 / $1,416.99	Professional		$673.19	$989.92	$1,416.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.24 / $648.57 / $1,206.09	Professional		$329.24	$648.57	$1,206.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.39 / $937.40 / $5,567.24	Facility		$518.39	$937.40	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.13 / $989.92 / $3,312.33	Professional		$527.13	$989.92	$3,312.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.88 / $1,069.13 / $2,932.27	Facility		$724.88	$1,069.13	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $680.29 / $937.40 / $1,318.70	Professional		$680.29	$937.40	$1,318.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.68 / $591.44 / $3,254.15	Professional		$323.68	$591.44	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,854.53 / $7,407.10	Facility		$3,711.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $490.54 / $747.49 / $1,392.20	Professional		$490.54	$747.49	$1,392.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $639.20 / $752.00 / $1,109.09	Professional		$639.20	$752.00	$1,109.09