Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $7,119.04	Facility		$3,496.00	$5,463.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $443.23 / $1,036.50	Professional		$243.91	$443.23	$1,036.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $655.73 / $1,091.68	Professional		$313.26	$655.73	$1,091.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.96 / $560.51 / $872.83	Professional		$251.96	$560.51	$872.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.69 / $672.02 / $4,217.00	Facility		$409.69	$672.02	$4,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $844.15 / $3,228.96	Professional		$421.00	$844.15	$3,228.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $468.70 / $632.63 / $1,082.92	Facility		$468.70	$632.63	$1,082.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $510.72 / $708.59 / $1,091.68	Professional		$510.72	$708.59	$1,091.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $725.10 / $1,164.50	Professional		$5.00	$725.10	$1,164.50
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 $400.58 / $610.40 / $1,223.54	Professional		$400.58	$610.40	$1,223.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $516.60 / $632.10 / $974.70	Professional		$516.60	$632.10	$974.70