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 $336.83 / $536.05 / $536.05	Professional		$336.83	$536.05	$536.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.11 / $905.81 / $1,017.70	Professional		$799.11	$905.81	$1,017.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $635.37 / $1,044.05	Professional		$340.85	$635.37	$1,044.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.49 / $970.40 / $8,393.34	Facility		$542.49	$970.40	$8,393.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.10 / $870.82 / $2,725.60	Professional		$480.10	$870.82	$2,725.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $1,121.06 / $3,170.91	Facility		$657.00	$1,121.06	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.99 / $799.11 / $1,121.06	Professional		$578.99	$799.11	$1,121.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $660.50 / $904.30	Professional		$6.00	$660.50	$904.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $853.60 / $1,171.03	Professional		$431.68	$853.60	$1,171.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $704.60 / $704.60 / $829.00	Professional		$704.60	$704.60	$829.00