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 $377.52 / $599.20 / $599.20	Professional		$377.52	$599.20	$599.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.19 / $1,018.68 / $1,164.75	Professional		$865.19	$1,018.68	$1,164.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.69 / $615.77 / $1,091.84	Professional		$379.69	$615.77	$1,091.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $623.53 / $1,097.36 / $7,305.00	Facility		$623.53	$1,097.36	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.52 / $955.54 / $6,221.00	Professional		$510.52	$955.54	$6,221.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $1,249.31 / $2,256.42	Facility		$691.00	$1,249.31	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $636.09 / $903.20 / $1,249.31	Professional		$636.09	$903.20	$1,249.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $713.30 / $1,025.30	Professional		$6.00	$713.30	$1,025.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.82 / $954.15 / $1,290.92	Professional		$473.82	$954.15	$1,290.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $796.40 / $796.40 / $937.00	Professional		$796.40	$796.40	$937.00