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 $231.64 / $350.57 / $564.89	Professional		$231.64	$350.57	$564.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $670.93 / $972.90	Professional		$500.00	$670.93	$972.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.96 / $501.07 / $1,017.23	Professional		$210.96	$501.07	$1,017.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.79 / $790.32 / $7,305.00	Facility		$512.79	$790.32	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.69 / $764.38 / $2,547.92	Professional		$436.69	$764.38	$2,547.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $510.04 / $785.52 / $3,054.91	Facility		$510.04	$785.52	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $471.60 / $663.77 / $925.97	Professional		$471.60	$663.77	$925.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $636.29 / $896.90	Professional		$6.00	$636.29	$896.90
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 $368.06 / $659.30 / $1,041.85	Professional		$368.06	$659.30	$1,041.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $423.40 / $498.10 / $744.60	Professional		$423.40	$498.10	$744.60