Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,172.55 / $4,917.20 / $7,119.04	Facility		$3,172.55	$4,917.20	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $513.53 / $842.70	Professional		$313.95	$513.53	$842.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.50 / $1,027.44 / $1,618.58	Professional		$673.50	$1,027.44	$1,618.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.09 / $674.84 / $1,050.74	Professional		$357.09	$674.84	$1,050.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.65 / $916.32 / $5,567.24	Facility		$538.65	$916.32	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.65 / $1,006.51 / $3,254.54	Professional		$529.65	$1,006.51	$3,254.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $791.84 / $1,177.84 / $2,932.27	Facility		$791.84	$1,177.84	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $675.91 / $934.09 / $1,362.39	Professional		$675.91	$934.09	$1,362.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $357.49 / $662.11 / $3,254.15	Professional		$357.49	$662.11	$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 $505.58 / $770.40 / $1,434.87	Professional		$505.58	$770.40	$1,434.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $698.20 / $821.40 / $1,268.40	Professional		$698.20	$821.40	$1,268.40