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 $392.06 / $622.48 / $622.48	Professional		$392.06	$622.48	$622.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.97 / $1,057.28 / $1,206.63	Professional		$914.97	$1,057.28	$1,206.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.97 / $650.63 / $1,147.56	Professional		$393.97	$650.63	$1,147.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.48 / $1,130.13 / $9,388.90	Facility		$622.48	$1,130.13	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $992.18 / $3,183.68	Professional		$536.58	$992.18	$3,183.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $1,300.41 / $3,170.91	Facility		$728.00	$1,300.41	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $935.96 / $1,300.41	Professional		$666.00	$935.96	$1,300.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $739.40 / $1,065.40	Professional		$3.00	$739.40	$1,065.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.49 / $687.71 / $1,334.64	Professional		$471.49	$687.71	$1,334.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $825.30 / $825.30 / $970.90	Professional		$825.30	$825.30	$970.90