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 $263.67 / $492.04 / $774.44	Professional		$263.67	$492.04	$774.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.79 / $917.80 / $1,489.05	Professional		$402.79	$917.80	$1,489.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.06 / $674.56 / $1,248.09	Professional		$228.06	$674.56	$1,248.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.19 / $1,192.64 / $8,342.00	Facility		$395.19	$1,192.64	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.80 / $1,150.09 / $2,421.87	Professional		$482.80	$1,150.09	$2,421.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $414.35 / $1,150.09 / $3,054.91	Facility		$414.35	$1,150.09	$3,054.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.19 / $917.80 / $1,444.37	Professional		$395.19	$917.80	$1,444.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $1,449.80	Professional		$6.00	$6.00	$1,449.80
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 $558.80 / $1,001.00 / $1,581.82	Professional		$558.80	$1,001.00	$1,581.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $334.60 / $393.70 / $1,109.30	Professional		$334.60	$393.70	$1,109.30