Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $7,119.04	Facility		$2,833.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $457.10 / $688.29	Professional		$269.83	$457.10	$688.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.21 / $844.35 / $1,190.47	Professional		$577.21	$844.35	$1,190.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $560.74 / $956.23	Professional		$294.32	$560.74	$956.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.82 / $801.84 / $3,984.48	Facility		$461.82	$801.84	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.05 / $869.03 / $2,850.03	Professional		$464.05	$869.03	$2,850.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $946.87 / $1,597.11	Facility		$644.11	$946.87	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $591.24 / $800.25 / $1,158.96	Professional		$591.24	$800.25	$1,158.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $522.72 / $1,727.45	Professional		$285.39	$522.72	$1,727.45
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 $434.05 / $674.98 / $1,257.14	Professional		$434.05	$674.98	$1,257.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $567.90 / $668.20 / $982.30	Professional		$567.90	$668.20	$982.30