Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,411.68	Facility		$3,496.00	$4,964.00	$7,411.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $650.86 / $955.18	Professional		$404.60	$650.86	$955.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.99 / $1,265.20 / $1,740.31	Professional		$834.99	$1,265.20	$1,740.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $439.99 / $758.21 / $1,324.54	Professional		$439.99	$758.21	$1,324.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $1,171.27 / $5,567.24	Facility		$621.29	$1,171.27	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.09 / $1,173.98 / $3,802.08	Professional		$634.09	$1,173.98	$3,802.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,316.00 / $2,932.27	Facility		$933.25	$1,316.00	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.00 / $1,153.88 / $1,606.01	Professional		$853.00	$1,153.88	$1,606.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $428.53 / $786.74 / $3,254.15	Professional		$428.53	$786.74	$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 $602.39 / $934.67 / $1,723.30	Professional		$602.39	$934.67	$1,723.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $852.90 / $1,003.40 / $1,362.00	Professional		$852.90	$1,003.40	$1,362.00