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 $299.55 / $474.80 / $769.71	Professional		$299.55	$474.80	$769.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.36 / $929.08 / $1,304.28	Professional		$617.36	$929.08	$1,304.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.55 / $589.28 / $1,046.90	Professional		$323.55	$589.28	$1,046.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.89 / $869.68 / $5,567.24	Facility		$513.89	$869.68	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.18 / $949.80 / $2,996.03	Professional		$507.18	$949.80	$2,996.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $713.25 / $1,050.93 / $2,932.27	Facility		$713.25	$1,050.93	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $634.20 / $865.91 / $1,269.17	Professional		$634.20	$865.91	$1,269.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $587.23 / $3,254.15	Professional		$318.08	$587.23	$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 $476.57 / $848.70 / $1,500.92	Professional		$476.57	$848.70	$1,500.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $628.90 / $739.90 / $1,090.20	Professional		$628.90	$739.90	$1,090.20