Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $456.86 / $687.52	Professional		$267.20	$456.86	$687.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.49 / $830.72 / $1,213.54	Professional		$566.49	$830.72	$1,213.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $290.11 / $571.42 / $877.00	Professional		$290.11	$571.42	$877.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $748.65 / $3,984.48	Facility		$456.86	$748.65	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $862.36 / $2,886.55	Professional		$460.48	$862.36	$2,886.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $442.48 / $717.50 / $1,148.58	Facility		$442.48	$717.50	$1,148.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $586.51 / $809.29 / $1,158.96	Professional		$586.51	$809.29	$1,158.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $517.28 / $784.99	Professional		$282.83	$517.28	$784.99
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 $453.29 / $669.79 / $1,325.73	Professional		$453.29	$669.79	$1,325.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $560.20 / $659.10 / $977.00	Professional		$560.20	$659.10	$977.00