Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $537.61 / $847.08	Professional		$343.22	$537.61	$847.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.59 / $916.33 / $1,010.03	Professional		$805.59	$916.33	$1,010.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $543.24 / $1,235.20	Professional		$353.67	$543.24	$1,235.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.94 / $4,723.00 / $14,428.30	Facility		$577.94	$4,723.00	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.73 / $885.72 / $1,493.98	Professional		$473.73	$885.72	$1,493.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $791.29 / $1,173.19 / $7,176.92	Facility		$791.29	$1,173.19	$7,176.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $592.08 / $823.86 / $1,143.77	Professional		$592.08	$823.86	$1,143.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $669.04 / $8,328.89	Professional		$379.76	$669.04	$8,328.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $425.62 / $856.54 / $1,225.03	Professional		$425.62	$856.54	$1,225.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $596.69 / $755.30 / $888.60	Professional		$596.69	$755.30	$888.60