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 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.37 / $634.83 / $1,021.15	Professional		$398.37	$634.83	$1,021.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.21 / $1,233.33 / $1,562.49	Professional		$823.21	$1,233.33	$1,562.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.41 / $746.90 / $1,167.49	Professional		$434.41	$746.90	$1,167.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $1,152.65 / $5,567.24	Facility		$653.91	$1,152.65	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $621.01 / $1,140.95 / $3,826.40	Professional		$621.01	$1,140.95	$3,826.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,301.47 / $2,932.27	Facility		$916.40	$1,301.47	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $843.33 / $1,128.38 / $1,550.31	Professional		$843.33	$1,128.38	$1,550.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $421.71 / $772.07 / $3,254.15	Professional		$421.71	$772.07	$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 $566.79 / $930.26 / $1,837.78	Professional		$566.79	$930.26	$1,837.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $840.10 / $988.30 / $1,326.50	Professional		$840.10	$988.30	$1,326.50