Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $4,235.59 / $7,119.04	Facility		$2,833.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $463.50 / $817.61	Professional		$261.20	$463.50	$817.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.21 / $662.24 / $992.43	Professional		$387.21	$662.24	$992.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $386.13 / $1,144.13	Professional		$173.15	$386.13	$1,144.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.23 / $786.37 / $5,567.24	Facility		$324.23	$786.37	$5,567.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.40 / $897.55 / $3,071.98	Professional		$528.40	$897.55	$3,071.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $429.99 / $856.76 / $2,932.27	Facility		$429.99	$856.76	$2,932.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.99 / $763.47 / $1,106.80	Professional		$429.99	$763.47	$1,106.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $311.27 / $3,254.15	Professional		$169.02	$311.27	$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 $527.99 / $817.54 / $1,532.88	Professional		$527.99	$817.54	$1,532.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $392.60 / $653.10	Professional		$333.70	$392.60	$653.10