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 $250.93 / $421.36 / $646.89	Professional		$250.93	$421.36	$646.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.53 / $788.25 / $1,087.83	Professional		$541.53	$788.25	$1,087.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $509.44 / $822.80	Professional		$260.82	$509.44	$822.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.81 / $735.78 / $3,984.48	Facility		$428.81	$735.78	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.60 / $808.26 / $2,618.88	Professional		$431.60	$808.26	$2,618.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $894.47 / $1,597.11	Facility		$604.08	$894.47	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $535.99 / $766.98 / $1,087.83	Professional		$535.99	$766.98	$1,087.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.93 / $490.54 / $1,727.45	Professional		$265.93	$490.54	$1,727.45
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 $411.98 / $627.78 / $1,242.56	Professional		$411.98	$627.78	$1,242.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $532.70 / $626.70 / $927.90	Professional		$532.70	$626.70	$927.90