Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.97 / $4,604.83 / $7,293.00	Facility		$1,076.97	$4,604.83	$7,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $576.45 / $901.23	Professional		$540.46	$576.45	$901.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.25 / $1,017.83 / $1,334.15	Professional		$844.25	$1,017.83	$1,334.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $359.94 / $682.46 / $1,414.43	Professional		$359.94	$682.46	$1,414.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $872.92 / $1,162.99 / $12,371.41	Facility		$872.92	$1,162.99	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $570.59 / $942.00 / $4,908.00	Professional		$570.59	$942.00	$4,908.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $813.17 / $1,184.68 / $4,818.76	Facility		$813.17	$1,184.68	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $681.71 / $920.55 / $1,184.68	Professional		$681.71	$920.55	$1,184.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $733.30 / $1,172.80	Professional		$5.00	$733.30	$1,172.80
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 $437.45 / $807.34 / $1,259.08	Professional		$437.45	$807.34	$1,259.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $744.40 / $744.40 / $875.80	Professional		$744.40	$744.40	$875.80