Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,407.42	Facility		$3,496.00	$5,091.00	$7,407.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.23 / $466.35 / $726.37	Professional		$272.23	$466.35	$726.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $858.96 / $1,262.31	Professional		$610.71	$858.96	$1,262.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $592.10 / $1,047.80	Professional		$299.11	$592.10	$1,047.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $806.18 / $5,567.24	Facility		$470.93	$806.18	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.38 / $914.60 / $3,014.24	Professional		$488.38	$914.60	$3,014.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $657.92 / $1,009.46 / $2,932.27	Facility		$657.92	$1,009.46	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $587.87 / $865.20 / $1,226.21	Professional		$587.87	$865.20	$1,226.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.79 / $534.77 / $3,254.15	Professional		$292.79	$534.77	$3,254.15
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 $458.05 / $710.37 / $1,323.06	Professional		$458.05	$710.37	$1,323.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $580.10 / $682.50 / $1,047.20	Professional		$580.10	$682.50	$1,047.20