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 $294.17 / $502.42 / $792.08	Professional		$294.17	$502.42	$792.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.71 / $1,100.29 / $1,485.16	Professional		$547.71	$1,100.29	$1,485.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $715.11 / $1,712.85	Professional		$228.97	$715.11	$1,712.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.51 / $1,186.35 / $5,582.51	Facility		$573.51	$1,186.35	$5,582.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $598.75 / $1,193.91 / $4,157.26	Professional		$598.75	$1,193.91	$4,157.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.67 / $1,186.35 / $1,813.25	Facility		$583.67	$1,186.35	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $560.53 / $916.02 / $1,453.20	Professional		$560.53	$916.02	$1,453.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $871.50 / $1,467.70	Professional		$3.00	$871.50	$1,467.70
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 $573.79 / $1,058.99 / $1,624.26	Professional		$573.79	$1,058.99	$1,624.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $474.30 / $557.90 / $1,163.50	Professional		$474.30	$557.90	$1,163.50