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 $458.41 / $724.22 / $724.22	Professional		$458.41	$724.22	$724.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.47 / $1,208.84 / $1,407.25	Professional		$1,039.47	$1,208.84	$1,407.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $720.76 / $1,233.88	Professional		$435.67	$720.76	$1,233.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.22 / $1,213.93 / $5,023.00	Facility		$724.22	$1,213.93	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.33 / $1,062.72 / $4,066.00	Professional		$535.33	$1,062.72	$4,066.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,058.38 / $1,400.34	Facility		$770.00	$1,058.38	$1,400.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $678.84 / $1,041.03 / $1,361.61	Professional		$678.84	$1,041.03	$1,361.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $850.60 / $1,308.80	Professional		$5.00	$850.60	$1,308.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.01 / $904.63 / $1,429.53	Professional		$505.01	$904.63	$1,429.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $904.70 / $904.70 / $1,064.30	Professional		$904.70	$904.70	$1,064.30