Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,917.20 / $7,119.04	Facility		$3,496.00	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $500.91 / $819.79	Professional		$295.29	$500.91	$819.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.70 / $910.57 / $1,392.64	Professional		$651.70	$910.57	$1,392.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $638.12 / $1,102.16	Professional		$317.76	$638.12	$1,102.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.91 / $873.83 / $5,567.24	Facility		$500.91	$873.83	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.79 / $962.45 / $3,306.31	Professional		$524.79	$962.45	$3,306.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $697.95 / $1,049.49 / $2,932.27	Facility		$697.95	$1,049.49	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $639.07 / $900.28 / $1,291.06	Professional		$639.07	$900.28	$1,291.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.05 / $568.16 / $3,254.15	Professional		$311.05	$568.16	$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 $482.39 / $747.54 / $1,392.29	Professional		$482.39	$747.54	$1,392.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $724.00 / $1,088.70	Professional		$615.40	$724.00	$1,088.70