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 $341.92 / $538.49 / $835.06	Professional		$341.92	$538.49	$835.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.67 / $1,051.79 / $1,413.68	Professional		$693.67	$1,051.79	$1,413.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $664.65 / $1,317.50	Professional		$366.96	$664.65	$1,317.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.99 / $970.04 / $5,567.24	Facility		$573.99	$970.04	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.90 / $1,033.56 / $3,370.12	Professional		$551.90	$1,033.56	$3,370.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.49 / $1,162.28 / $2,932.27	Facility		$811.49	$1,162.28	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.12 / $968.00 / $1,413.68	Professional		$735.12	$968.00	$1,413.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.08 / $662.43 / $3,254.15	Professional		$364.08	$662.43	$3,254.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,180.89 / $6,006.07 / $8,514.60	Facility		$4,180.89	$6,006.07	$8,514.60
United Facility/Professional Professional Modifier Low / Median / High Price $518.74 / $802.77 / $1,495.16	Professional		$518.74	$802.77	$1,495.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $715.60 / $841.80 / $1,205.70	Professional		$715.60	$841.80	$1,205.70