Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $615.91 / $615.91	Professional		$388.01	$615.91	$615.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.20 / $1,101.28 / $1,195.92	Professional		$927.20	$1,101.28	$1,195.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.91 / $667.05 / $1,256.46	Professional		$389.91	$667.05	$1,256.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $1,089.00 / $5,732.00	Facility		$615.91	$1,089.00	$5,732.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $983.68 / $3,301.51	Professional		$542.66	$983.68	$3,301.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $508.65 / $786.67 / $1,119.33	Facility		$508.65	$786.67	$1,119.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $962.84 / $1,286.57	Professional		$728.46	$962.84	$1,286.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $748.20 / $1,055.50	Professional		$3.00	$748.20	$1,055.50
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 $466.73 / $861.38 / $1,343.36	Professional		$466.73	$861.38	$1,343.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $817.60 / $817.60 / $961.90	Professional		$817.60	$817.60	$961.90