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 $364.64 / $587.71 / $624.20	Professional		$364.64	$587.71	$624.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.71 / $909.96 / $1,122.88	Professional		$756.71	$909.96	$1,122.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.94 / $604.64 / $1,542.59	Professional		$376.94	$604.64	$1,542.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.20 / $1,015.12 / $14,242.22	Facility		$624.20	$1,015.12	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.13 / $829.46 / $3,959.35	Professional		$423.13	$829.46	$3,959.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $817.00 / $1,045.69 / $9,187.26	Facility		$817.00	$1,045.69	$9,187.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $622.29 / $916.62 / $1,187.80	Professional		$622.29	$916.62	$1,187.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $679.80 / $10,534.12	Professional		$370.26	$679.80	$10,534.12
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $400.49 / $610.27 / $1,241.64	Professional		$400.49	$610.27	$1,241.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.24 / $756.00 / $889.40	Professional		$597.24	$756.00	$889.40