Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $7,119.04	Facility		$2,833.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $385.45 / $854.11	Professional		$233.26	$385.45	$854.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.59 / $705.09 / $1,071.17	Professional		$512.59	$705.09	$1,071.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.09 / $492.84 / $735.24	Professional		$245.09	$492.84	$735.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.45 / $642.53 / $3,984.48	Facility		$385.45	$642.53	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $777.27 / $2,558.05	Professional		$406.49	$777.27	$2,558.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $404.66 / $621.19 / $1,005.66	Facility		$404.66	$621.19	$1,005.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $496.89 / $706.62 / $1,006.43	Professional		$496.89	$706.62	$1,006.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.26 / $434.74 / $676.71	Professional		$236.26	$434.74	$676.71
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 $388.02 / $591.26 / $1,101.23	Professional		$388.02	$591.26	$1,101.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $472.30 / $555.70 / $847.10	Professional		$472.30	$555.70	$847.10