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 $239.32 / $355.61 / $560.30	Professional		$239.32	$355.61	$560.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $703.83 / $1,045.94	Professional		$359.53	$703.83	$1,045.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $500.33 / $1,113.89	Professional		$152.60	$500.33	$1,113.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.57 / $798.00 / $2,195.54	Facility		$374.57	$798.00	$2,195.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.03 / $892.23 / $2,833.94	Professional		$429.03	$892.23	$2,833.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $389.62 / $610.78 / $1,035.46	Facility		$389.62	$610.78	$1,035.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $703.83 / $1,035.46	Professional		$359.53	$703.83	$1,035.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $674.50 / $1,039.30	Professional		$3.00	$674.50	$1,039.30
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 $449.88 / $772.29 / $1,220.41	Professional		$449.88	$772.29	$1,220.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $373.00 / $816.90	Professional		$317.00	$373.00	$816.90