Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $9,181.87	Facility		$2,906.00	$4,778.89	$9,181.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.23 / $472.90 / $854.83	Professional		$276.23	$472.90	$854.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.56 / $674.70 / $1,045.10	Professional		$396.56	$674.70	$1,045.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $393.80 / $1,279.85	Professional		$177.53	$393.80	$1,279.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.21 / $801.67 / $5,567.24	Facility		$331.21	$801.67	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.33 / $939.00 / $3,229.91	Professional		$552.33	$939.00	$3,229.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $440.90 / $875.25 / $2,932.27	Facility		$440.90	$875.25	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $440.90 / $801.67 / $1,160.83	Professional		$440.90	$801.67	$1,160.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $322.70 / $3,254.15	Professional		$174.19	$322.70	$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 $552.33 / $800.96 / $1,591.23	Professional		$552.33	$800.96	$1,591.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $402.40 / $665.90	Professional		$342.10	$402.40	$665.90