Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $458.30 / $634.05	Professional		$305.27	$458.30	$634.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.53 / $875.71 / $1,126.21	Professional		$613.53	$875.71	$1,126.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $539.05 / $1,474.36	Professional		$257.88	$539.05	$1,474.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $958.04 / $7,407.10	Facility		$620.91	$958.04	$7,407.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.79 / $948.95 / $3,393.85	Professional		$484.79	$948.95	$3,393.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $650.86 / $976.89 / $3,170.91	Facility		$650.86	$976.89	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $541.51 / $834.05 / $1,195.09	Professional		$541.51	$834.05	$1,195.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $793.40 / $1,006.50	Professional		$3.00	$793.40	$1,006.50
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 $450.95 / $803.50 / $1,276.50	Professional		$450.95	$803.50	$1,276.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $531.50 / $625.29 / $850.00	Professional		$531.50	$625.29	$850.00