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 $396.38 / $512.63 / $628.82	Professional		$396.38	$512.63	$628.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.19 / $973.88 / $1,227.08	Professional		$764.19	$973.88	$1,227.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.79 / $624.17 / $1,220.47	Professional		$325.79	$624.17	$1,220.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.19 / $1,030.75 / $8,722.70	Facility		$764.19	$1,030.75	$8,722.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.52 / $1,034.07 / $5,828.17	Professional		$568.52	$1,034.07	$5,828.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.19 / $1,066.73 / $4,818.76	Facility		$764.19	$1,066.73	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.25 / $927.17 / $1,266.95	Professional		$676.25	$927.17	$1,266.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $817.50 / $1,085.20	Professional		$6.00	$817.50	$1,085.20
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 $497.86 / $974.97 / $1,429.76	Professional		$497.86	$974.97	$1,429.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $673.80 / $792.80 / $983.80	Professional		$673.80	$792.80	$983.80