Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.62 / $649.69 / $676.30	Professional		$446.62	$649.69	$676.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.48 / $1,019.02 / $1,163.78	Professional		$902.48	$1,019.02	$1,163.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.16 / $615.40 / $1,182.84	Professional		$379.16	$615.40	$1,182.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.30 / $1,090.50 / $8,586.74	Facility		$676.30	$1,090.50	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.17 / $952.29 / $3,341.83	Professional		$514.17	$952.29	$3,341.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.00 / $1,244.11 / $3,170.91	Facility		$701.00	$1,244.11	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $635.25 / $902.48 / $1,244.11	Professional		$635.25	$902.48	$1,244.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $707.30 / $1,028.09	Professional		$3.00	$707.30	$1,028.09
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 $452.54 / $810.63 / $1,280.99	Professional		$452.54	$810.63	$1,280.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $781.80 / $781.80 / $919.70	Professional		$781.80	$781.80	$919.70