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 $238.95 / $402.75 / $607.23	Professional		$238.95	$402.75	$607.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $735.71 / $1,106.32	Professional		$516.12	$735.71	$1,106.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $499.89 / $716.26	Professional		$256.10	$499.89	$716.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.77 / $680.10 / $3,984.48	Facility		$402.77	$680.10	$3,984.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $781.00 / $2,591.52	Professional		$414.12	$781.00	$2,591.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $391.17 / $635.30 / $1,018.26	Facility		$391.17	$635.30	$1,018.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.49 / $735.71 / $1,024.26	Professional		$517.49	$735.71	$1,024.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $452.18 / $686.39	Professional		$246.26	$452.18	$686.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $5,854.53 / $7,407.10	Facility		$3,200.82	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $394.80 / $601.60 / $1,128.00	Professional		$394.80	$601.60	$1,128.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $578.29 / $859.90	Professional		$491.60	$578.29	$859.90