Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $669.94 / $2,355.00	Professional		$421.90	$669.94	$2,355.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.20 / $1,138.79 / $1,297.20	Professional		$987.20	$1,138.79	$1,297.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $424.23 / $704.06 / $1,230.53	Professional		$424.23	$704.06	$1,230.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,216.59 / $8,586.74	Facility		$646.00	$1,216.59	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.37 / $1,071.46 / $3,428.88	Professional		$575.37	$1,071.46	$3,428.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $782.00 / $1,400.53 / $3,170.91	Facility		$782.00	$1,400.53	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $1,006.54 / $1,400.53	Professional		$716.00	$1,006.54	$1,400.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $794.20 / $1,145.70	Professional		$3.00	$794.20	$1,145.70
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 $509.16 / $941.13 / $1,441.28	Professional		$509.16	$941.13	$1,441.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $887.50 / $887.50 / $1,044.20	Professional		$887.50	$887.50	$1,044.20