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 $348.11 / $594.69 / $613.66	Professional		$348.11	$594.69	$613.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.14 / $908.43 / $1,135.54	Professional		$705.14	$908.43	$1,135.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $558.90 / $1,228.78	Professional		$364.07	$558.90	$1,228.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.66 / $968.27 / $11,139.12	Facility		$613.66	$968.27	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $784.26 / $3,648.58	Professional		$400.84	$784.26	$3,648.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $1,023.19 / $6,616.19	Facility		$726.25	$1,023.19	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.34 / $884.27 / $1,158.36	Professional		$593.34	$884.27	$1,158.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $386.72 / $718.66 / $7,323.26	Professional		$386.72	$718.66	$7,323.26
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 $381.94 / $613.57 / $1,093.20	Professional		$381.94	$613.57	$1,093.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.96 / $779.70 / $917.30	Professional		$615.96	$779.70	$917.30