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 $255.42 / $426.11 / $646.29	Professional		$255.42	$426.11	$646.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.57 / $780.07 / $1,127.60	Professional		$553.57	$780.07	$1,127.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.58 / $529.60 / $914.53	Professional		$271.58	$529.60	$914.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.11 / $764.35 / $5,567.24	Facility		$426.11	$764.35	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.59 / $832.00 / $2,716.16	Professional		$438.59	$832.00	$2,716.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $595.33 / $887.18 / $2,932.27	Facility		$595.33	$887.18	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $548.78 / $764.75 / $1,092.83	Professional		$548.78	$764.75	$1,092.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $482.94 / $3,254.15	Professional		$263.83	$482.94	$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 $423.68 / $637.95 / $1,262.71	Professional		$423.68	$637.95	$1,262.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $617.60 / $920.30	Professional		$525.00	$617.60	$920.30