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 $365.73 / $580.63 / $580.63	Professional		$365.73	$580.63	$580.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.31 / $986.35 / $1,128.72	Professional		$840.31	$986.35	$1,128.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $368.14 / $599.08 / $1,053.13	Professional		$368.14	$599.08	$1,053.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.58 / $1,097.46 / $8,586.74	Facility		$722.58	$1,097.46	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.42 / $925.53 / $4,956.60	Professional		$492.42	$925.53	$4,956.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $1,210.74 / $3,170.91	Facility		$677.00	$1,210.74	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $632.97 / $875.54 / $1,210.74	Professional		$632.97	$875.54	$1,210.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $735.40 / $993.40	Professional		$3.00	$735.40	$993.40
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 $458.94 / $812.47 / $1,244.99	Professional		$458.94	$812.47	$1,244.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $772.00 / $772.00 / $908.30	Professional		$772.00	$772.00	$908.30