Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.64 / $597.39 / $2,272.27	Professional		$351.64	$597.39	$2,272.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $954.57 / $1,068.33	Professional		$854.67	$954.57	$1,068.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $587.78 / $1,395.20	Professional		$385.57	$587.78	$1,395.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.61 / $1,125.08 / $10,320.00	Facility		$620.61	$1,125.08	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $909.73 / $1,480.08	Professional		$462.36	$909.73	$1,480.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $759.39 / $1,230.54 / $3,972.29	Facility		$759.39	$1,230.54	$3,972.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.68 / $897.25 / $1,179.33	Professional		$668.68	$897.25	$1,179.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $391.85 / $717.73 / $4,142.76	Professional		$391.85	$717.73	$4,142.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $735.16 / $1,223.73	Professional		$415.58	$735.16	$1,223.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $794.00 / $934.20	Professional		$627.26	$794.00	$934.20