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 $392.77 / $509.78 / $623.07	Professional		$392.77	$509.78	$623.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.55 / $969.01 / $1,214.42	Professional		$760.55	$969.01	$1,214.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.22 / $618.71 / $1,277.89	Professional		$324.22	$618.71	$1,277.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.55 / $1,056.67 / $8,722.70	Facility		$760.55	$1,056.67	$8,722.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $597.51 / $1,025.23 / $6,131.15	Professional		$597.51	$1,025.23	$6,131.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $760.55 / $1,069.89 / $4,818.76	Facility		$760.55	$1,069.89	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $688.81 / $922.36 / $1,256.16	Professional		$688.81	$922.36	$1,256.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $810.00 / $1,075.40	Professional		$6.00	$810.00	$1,075.40
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 $493.19 / $726.03 / $1,337.90	Professional		$493.19	$726.03	$1,337.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $670.60 / $789.00 / $974.70	Professional		$670.60	$789.00	$974.70