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 $392.58 / $586.78 / $586.78	Professional		$392.58	$586.78	$586.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.22 / $886.37 / $1,015.75	Professional		$733.22	$886.37	$1,015.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $521.97 / $883.55	Professional		$329.93	$521.97	$883.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.78 / $945.18 / $6,237.94	Facility		$586.78	$945.18	$6,237.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.36 / $826.65 / $2,669.44	Professional		$440.36	$826.65	$2,669.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,082.83 / $1,813.25	Facility		$597.00	$1,082.83	$1,813.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $786.02 / $1,080.15	Professional		$552.00	$786.02	$1,080.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $632.29 / $892.50	Professional		$3.00	$632.29	$892.50
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 $392.83 / $610.52 / $1,111.98	Professional		$392.83	$610.52	$1,111.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $680.90 / $680.90 / $801.00	Professional		$680.90	$680.90	$801.00