Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.99 / $397.33 / $616.99	Professional		$233.99	$397.33	$616.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.38 / $725.54 / $1,124.83	Professional		$521.38	$725.54	$1,124.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $493.29 / $887.32	Professional		$252.80	$493.29	$887.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.33 / $705.76 / $5,567.24	Facility		$397.33	$705.76	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.51 / $793.86 / $2,527.63	Professional		$414.51	$793.86	$2,527.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $555.29 / $846.43 / $2,932.27	Facility		$555.29	$846.43	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $514.60 / $730.83 / $1,041.26	Professional		$514.60	$730.83	$1,041.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.15 / $451.58 / $3,254.15	Professional		$247.15	$451.58	$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 $395.67 / $602.92 / $1,193.38	Professional		$395.67	$602.92	$1,193.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.70 / $576.10 / $878.10	Professional		$489.70	$576.10	$878.10