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 $175.22 / $477.97 / $940.62	Professional		$175.22	$477.97	$940.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $761.27 / $1,010.03	Professional		$352.26	$761.27	$1,010.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $484.52 / $1,340.68	Professional		$149.46	$484.52	$1,340.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $775.48 / $4,679.00	Facility		$363.06	$775.48	$4,679.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $867.69 / $3,365.44	Professional		$393.00	$867.69	$3,365.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $352.26 / $499.96 / $1,034.21	Facility		$352.26	$499.96	$1,034.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.26 / $690.84 / $1,034.21	Professional		$352.26	$690.84	$1,034.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $680.00 / $1,021.70	Professional		$3.00	$680.00	$1,021.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,970.00 / $4,006.00 / $5,582.51	Facility		$1,970.00	$4,006.00	$5,582.51
United Facility/Professional Professional Modifier Low / Median / High Price $430.26 / $738.61 / $1,167.19	Professional		$430.26	$738.61	$1,167.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $365.40 / $789.70	Professional		$310.60	$365.40	$789.70