Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $7,119.04	Facility		$3,468.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.83 / $550.28 / $803.65	Professional		$337.83	$550.28	$803.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.32 / $1,007.96 / $1,470.55	Professional		$681.32	$1,007.96	$1,470.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $670.53 / $1,517.23	Professional		$353.65	$670.53	$1,517.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $559.28 / $971.83 / $10,188.00	Facility		$559.28	$971.83	$10,188.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.91 / $1,057.00 / $3,850.71	Professional		$568.91	$1,057.00	$3,850.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.02 / $1,116.65 / $6,616.19	Facility		$770.02	$1,116.65	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $1,026.34 / $1,346.31	Professional		$720.72	$1,026.34	$1,346.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $341.73 / $619.82 / $7,234.74	Professional		$341.73	$619.82	$7,234.74
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 $531.62 / $791.54 / $1,610.43	Professional		$531.62	$791.54	$1,610.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $798.80 / $1,148.40	Professional		$679.00	$798.80	$1,148.40