Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,604.83 / $7,119.04	Facility		$3,496.00	$4,604.83	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $421.48 / $641.95	Professional		$247.52	$421.48	$641.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.38 / $770.34 / $1,166.70	Professional		$547.38	$770.34	$1,166.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $509.11 / $908.97	Professional		$267.75	$509.11	$908.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.29 / $735.78 / $5,567.24	Facility		$422.29	$735.78	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.14 / $816.77 / $2,615.83	Professional		$436.14	$816.77	$2,615.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $585.88 / $874.80 / $2,932.27	Facility		$585.88	$874.80	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $539.54 / $758.33 / $1,082.08	Professional		$539.54	$758.33	$1,082.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $474.20 / $3,254.15	Professional		$258.64	$474.20	$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 $414.02 / $634.38 / $1,181.54	Professional		$414.02	$634.38	$1,181.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $516.60 / $607.79 / $907.50	Professional		$516.60	$607.79	$907.50