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 $332.69 / $595.22 / $595.22	Professional		$332.69	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.87 / $897.73 / $1,028.41	Professional		$700.87	$897.73	$1,028.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $496.87 / $1,190.32	Professional		$334.41	$496.87	$1,190.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $959.59 / $8,586.74	Facility		$595.22	$959.59	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.62 / $839.44 / $2,703.68	Professional		$441.62	$839.44	$2,703.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $601.00 / $1,097.94 / $3,170.91	Facility		$601.00	$1,097.94	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $556.88 / $796.93 / $1,100.21	Professional		$556.88	$796.93	$1,100.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $628.40 / $904.80	Professional		$3.00	$628.40	$904.80
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 $398.29 / $774.35 / $1,127.44	Professional		$398.29	$774.35	$1,127.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $690.30 / $690.30 / $812.20	Professional		$690.30	$690.30	$812.20