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 $362.11 / $574.96 / $574.96	Professional		$362.11	$574.96	$574.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $976.03 / $1,114.10	Professional		$865.35	$976.03	$1,114.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $623.70 / $1,066.74	Professional		$364.29	$623.70	$1,066.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.94 / $1,087.81 / $8,586.74	Facility		$755.94	$1,087.81	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.78 / $976.03 / $4,691.53	Professional		$498.78	$976.03	$4,691.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $1,198.23 / $3,170.91	Facility		$681.00	$1,198.23	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $896.32 / $1,202.05	Professional		$624.00	$896.32	$1,202.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $711.60 / $981.80	Professional		$3.00	$711.60	$981.80
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 $455.14 / $781.32 / $1,234.67	Professional		$455.14	$781.32	$1,234.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $763.00 / $897.70	Professional		$763.00	$763.00	$897.70