Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.14 / $4,917.20 / $7,119.04	Facility		$1,602.14	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $499.10 / $770.37	Professional		$313.02	$499.10	$770.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.54 / $974.85 / $1,317.44	Professional		$649.54	$974.85	$1,317.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $339.80 / $621.32 / $971.51	Professional		$339.80	$621.32	$971.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.46 / $903.24 / $5,567.24	Facility		$534.46	$903.24	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.08 / $973.97 / $3,157.27	Professional		$520.08	$973.97	$3,157.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $745.27 / $1,061.11 / $2,932.27	Facility		$745.27	$1,061.11	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $690.60 / $911.04 / $1,298.27	Professional		$690.60	$911.04	$1,298.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.15 / $605.64 / $3,254.15	Professional		$331.15	$605.64	$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 $472.80 / $756.48 / $1,408.94	Professional		$472.80	$756.48	$1,408.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.20 / $773.10 / $1,100.80	Professional		$657.20	$773.10	$1,100.80