Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,778.89 / $7,119.04	Facility		$2,906.00	$4,778.89	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.20 / $551.32 / $1,902.01	Professional		$336.20	$551.32	$1,902.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $852.34 / $1,377.86	Professional		$369.27	$852.34	$1,377.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.30 / $657.06 / $904.80	Professional		$349.30	$657.06	$904.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.96 / $873.00 / $4,217.00	Facility		$465.96	$873.00	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.62 / $986.01 / $3,917.92	Professional		$494.62	$986.01	$3,917.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $598.37 / $790.78 / $1,265.63	Facility		$598.37	$790.78	$1,265.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $903.77 / $1,297.60	Professional		$603.96	$903.77	$1,297.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $817.40 / $1,417.40	Professional		$5.00	$817.40	$1,417.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $5,327.00 / $8,342.00	Facility		$1,770.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.31 / $892.81 / $1,554.21	Professional		$501.31	$892.81	$1,554.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $849.40 / $1,204.20	Professional		$722.00	$849.40	$1,204.20