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 $274.67 / $451.73 / $702.81	Professional		$274.67	$451.73	$702.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.11 / $853.11 / $1,227.67	Professional		$574.11	$853.11	$1,227.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $298.29 / $578.25 / $849.21	Professional		$298.29	$578.25	$849.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $825.85 / $5,567.24	Facility		$470.05	$825.85	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.67 / $887.06 / $2,929.09	Professional		$473.67	$887.06	$2,929.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $654.29 / $962.15 / $2,932.27	Facility		$654.29	$962.15	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $832.80 / $1,184.18	Professional		$590.00	$832.80	$1,184.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $531.09 / $3,254.15	Professional		$292.00	$531.09	$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 $452.14 / $688.98 / $1,315.02	Professional		$452.14	$688.98	$1,315.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $576.90 / $678.70 / $998.10	Professional		$576.90	$678.70	$998.10