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 $394.33 / $592.35 / $1,584.00	Professional		$394.33	$592.35	$1,584.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.18 / $893.84 / $1,024.52	Professional		$743.18	$893.84	$1,024.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $333.16 / $528.12 / $955.86	Professional		$333.16	$528.12	$955.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.35 / $954.79 / $12,371.41	Facility		$592.35	$954.79	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.94 / $834.73 / $2,691.92	Professional		$446.94	$834.73	$2,691.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $1,093.49 / $6,793.72	Facility		$606.00	$1,093.49	$6,793.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $794.03 / $1,093.49	Professional		$563.00	$794.03	$1,093.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $624.90 / $901.50	Professional		$3.00	$624.90	$901.50
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 $396.67 / $770.37 / $1,122.84	Professional		$396.67	$770.37	$1,122.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $687.80 / $687.80 / $809.20	Professional		$687.80	$687.80	$809.20