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 $463.61 / $542.57 / $732.36	Professional		$463.61	$542.57	$732.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,053.73 / $1,373.90	Professional		$811.80	$1,053.73	$1,373.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.88 / $647.69 / $1,099.81	Professional		$334.88	$647.69	$1,099.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.57 / $1,127.83 / $7,273.98	Facility		$611.57	$1,127.83	$7,273.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.33 / $1,045.06 / $3,699.76	Professional		$556.33	$1,045.06	$3,699.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.31 / $1,088.40 / $2,571.84	Facility		$784.31	$1,088.40	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $670.22 / $922.53 / $1,302.31	Professional		$670.22	$922.53	$1,302.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $842.10 / $1,322.70	Professional		$6.00	$842.10	$1,322.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $6,110.41 / $8,342.00	Facility		$3,711.00	$6,110.41	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.83 / $898.78 / $1,420.29	Professional		$483.83	$898.78	$1,420.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $685.90 / $806.90 / $1,075.90	Professional		$685.90	$806.90	$1,075.90