Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.70 / $390.00 / $599.80	Professional		$297.70	$390.00	$599.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $817.02 / $2,894.39	Professional		$355.29	$817.02	$2,894.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.45 / $1,495.22 / $3,584.47	Professional		$797.45	$1,495.22	$3,584.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.00 / $918.19 / $4,663.00	Facility		$476.00	$918.19	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $783.06 / $3,489.84	Professional		$379.05	$783.06	$3,489.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.15 / $796.93 / $1,075.15	Facility		$583.15	$796.93	$1,075.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $657.45 / $880.18 / $2,262.39	Professional		$657.45	$880.18	$2,262.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $436.00 / $471.20	Professional		$398.10	$436.00	$471.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $566.29 / $1,063.96	Professional		$359.52	$566.29	$1,063.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,634.04 / $2,068.40 / $2,433.40	Professional		$1,634.04	$2,068.40	$2,433.40