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 $403.66 / $570.40 / $791.26	Professional		$403.66	$570.40	$791.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.21 / $1,150.48 / $1,342.97	Professional		$916.21	$1,150.48	$1,342.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.80 / $636.58 / $973.96	Professional		$393.80	$636.58	$973.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,170.38 / $8,328.70	Facility		$686.00	$1,170.38	$8,328.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.19 / $1,016.79 / $3,482.16	Professional		$504.19	$1,016.79	$3,482.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,303.16 / $2,571.84	Facility		$686.00	$1,303.16	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $996.37 / $1,303.16	Professional		$628.00	$996.37	$1,303.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $810.90 / $1,252.90	Professional		$5.00	$810.90	$1,252.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.18 / $971.14 / $1,367.75	Professional		$483.18	$971.14	$1,367.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $863.40 / $863.40 / $1,015.70	Professional		$863.40	$863.40	$1,015.70