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 $400.21 / $634.23 / $685.09	Professional		$400.21	$634.23	$685.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.04 / $990.91 / $1,234.86	Professional		$836.04	$990.91	$1,234.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $414.46 / $666.06 / $1,467.12	Professional		$414.46	$666.06	$1,467.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.09 / $1,092.98 / $14,242.22	Facility		$685.09	$1,092.98	$14,242.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $909.84 / $3,959.35	Professional		$477.63	$909.84	$3,959.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,116.54 / $9,918.27	Facility		$871.00	$1,116.54	$9,918.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.18 / $965.40 / $1,304.57	Professional		$674.18	$965.40	$1,304.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.14 / $745.52 / $11,250.08	Professional		$406.14	$745.52	$11,250.08
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 $439.78 / $670.14 / $1,363.45	Professional		$439.78	$670.14	$1,363.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.04 / $831.70 / $978.50	Professional		$657.04	$831.70	$978.50