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 $337.17 / $511.56 / $688.51	Professional		$337.17	$511.56	$688.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.76 / $877.46 / $1,167.68	Professional		$671.76	$877.46	$1,167.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.41 / $556.54 / $882.56	Professional		$277.41	$556.54	$882.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $909.71 / $7,273.98	Facility		$560.66	$909.71	$7,273.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $885.80 / $3,009.28	Professional		$479.00	$885.80	$3,009.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $671.76 / $935.06 / $2,571.84	Facility		$671.76	$935.06	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $801.78 / $1,085.70	Professional		$567.00	$801.78	$1,085.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $772.20 / $1,064.70	Professional		$5.00	$772.20	$1,064.70
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 $436.75 / $710.19 / $1,236.30	Professional		$436.75	$710.19	$1,236.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $592.29 / $696.90 / $915.80	Professional		$592.29	$696.90	$915.80