Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $429.03 / $1,610.01	Professional		$339.08	$429.03	$1,610.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.63 / $810.42 / $1,197.86	Professional		$632.63	$810.42	$1,197.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $595.13 / $878.39	Professional		$263.81	$595.13	$878.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $631.40 / $953.00 / $7,271.65	Facility		$631.40	$953.00	$7,271.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.98 / $914.14 / $3,263.76	Professional		$475.98	$914.14	$3,263.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $649.54 / $914.14 / $3,170.91	Facility		$649.54	$914.14	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $541.26 / $753.02 / $1,167.53	Professional		$541.26	$753.02	$1,167.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $650.70 / $1,153.80	Professional		$3.00	$650.70	$1,153.80
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 $456.15 / $817.10 / $1,291.21	Professional		$456.15	$817.10	$1,291.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.10 / $642.50 / $950.50	Professional		$546.10	$642.50	$950.50