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 $280.11 / $375.85 / $598.13	Professional		$280.11	$375.85	$598.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.23 / $678.56 / $727.68	Professional		$558.23	$678.56	$727.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.92 / $453.53 / $2,194.36	Professional		$238.92	$453.53	$2,194.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $1,573.27 / $12,656.46	Facility		$549.00	$1,573.27	$12,656.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.53 / $673.34 / $7,676.43	Professional		$382.53	$673.34	$7,676.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $544.26 / $796.71 / $6,757.43	Facility		$544.26	$796.71	$6,757.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $615.79 / $797.53	Professional		$415.00	$615.79	$797.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $477.70 / $640.20	Professional		$3.00	$477.70	$640.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,550.58 / $10,061.00 / $13,238.00	Facility		$6,550.58	$10,061.00	$13,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $617.15 / $1,038.07	Professional		$306.02	$617.15	$1,038.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $492.20 / $492.20 / $579.10	Professional		$492.20	$492.20	$579.10