Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.44 / $684.53 / $684.53	Professional		$474.44	$684.53	$684.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.09 / $1,032.04 / $1,179.35	Professional		$885.09	$1,032.04	$1,179.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $384.35 / $630.40 / $1,124.91	Professional		$384.35	$630.40	$1,124.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.53 / $1,122.66 / $9,388.90	Facility		$684.53	$1,122.66	$9,388.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.98 / $970.98 / $3,439.00	Professional		$525.98	$970.98	$3,439.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $712.00 / $1,264.95 / $3,170.91	Facility		$712.00	$1,264.95	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $652.00 / $914.11 / $1,264.95	Professional		$652.00	$914.11	$1,264.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $727.40 / $1,038.20	Professional		$3.00	$727.40	$1,038.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.48 / $930.86 / $1,306.11	Professional		$481.48	$930.86	$1,306.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $791.80 / $791.80 / $931.60	Professional		$791.80	$791.80	$931.60