Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $3,795.64 / $7,119.04	Facility		$2,234.00	$3,795.64	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.95 / $515.92 / $1,911.17	Professional		$330.95	$515.92	$1,911.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.31 / $823.51 / $1,029.39	Professional		$323.31	$823.51	$1,029.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.96 / $529.99 / $1,179.99	Professional		$338.96	$529.99	$1,179.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.80 / $819.40 / $7,799.00	Facility		$392.80	$819.40	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.83 / $781.33 / $2,705.52	Professional		$381.83	$781.33	$2,705.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $979.33 / $3,628.99	Facility		$514.00	$979.33	$3,628.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $818.78 / $995.62	Professional		$514.00	$818.78	$995.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $666.30 / $954.60	Professional		$3.00	$666.30	$954.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $547.50 / $1,103.22	Professional		$372.48	$547.50	$1,103.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $570.38 / $722.00 / $849.40	Professional		$570.38	$722.00	$849.40