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 $320.77 / $573.96 / $573.96	Professional		$320.77	$573.96	$573.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.40 / $865.28 / $989.46	Professional		$749.40	$865.28	$989.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $532.88 / $930.08	Professional		$322.36	$532.88	$930.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.41 / $974.61 / $8,586.74	Facility		$640.41	$974.61	$8,586.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.88 / $810.41 / $5,174.55	Professional		$434.88	$810.41	$5,174.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,056.79 / $3,170.91	Facility		$595.00	$1,056.79	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $555.01 / $767.09 / $1,056.79	Professional		$555.01	$767.09	$1,056.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $604.00 / $872.60	Professional		$6.00	$604.00	$872.60
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 $388.00 / $689.85 / $1,090.13	Professional		$388.00	$689.85	$1,090.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.50 / $664.50 / $781.80	Professional		$664.50	$664.50	$781.80