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 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.85 / $551.24 / $860.36	Professional		$336.85	$551.24	$860.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.87 / $1,060.55 / $1,524.00	Professional		$715.87	$1,060.55	$1,524.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.02 / $718.38 / $1,186.94	Professional		$371.02	$718.38	$1,186.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.79 / $998.07 / $8,342.00	Facility		$577.79	$998.07	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.63 / $1,081.75 / $3,598.30	Professional		$577.63	$1,081.75	$3,598.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.85 / $1,200.86 / $7,102.51	Facility		$815.85	$1,200.86	$7,102.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $730.88 / $993.75 / $1,451.99	Professional		$730.88	$993.75	$1,451.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $365.57 / $666.56 / $7,234.74	Professional		$365.57	$666.56	$7,234.74
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 $551.38 / $840.19 / $1,564.86	Professional		$551.38	$840.19	$1,564.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $719.40 / $846.40 / $1,245.80	Professional		$719.40	$846.40	$1,245.80