Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.20 / $500.44 / $612.76	Professional		$386.20	$500.44	$612.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.99 / $950.50 / $1,194.94	Professional		$745.99	$950.50	$1,194.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $632.29 / $1,178.40	Professional		$318.00	$632.29	$1,178.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.99 / $1,015.80 / $13,399.54	Facility		$745.99	$1,015.80	$13,399.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.57 / $1,009.92 / $5,914.45	Professional		$556.57	$1,009.92	$5,914.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $745.99 / $1,038.60 / $8,863.74	Facility		$745.99	$1,038.60	$8,863.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.02 / $906.75 / $1,237.40	Professional		$660.02	$906.75	$1,237.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $799.10 / $1,102.00	Professional		$7.00	$799.10	$1,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $464.81 / $832.61 / $1,315.73	Professional		$464.81	$832.61	$1,315.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $657.80 / $773.90 / $958.80	Professional		$657.80	$773.90	$958.80