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 $416.81 / $620.32 / $1,442.00	Professional		$416.81	$620.32	$1,442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.79 / $932.51 / $1,065.42	Professional		$826.79	$932.51	$1,065.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $516.26 / $1,193.15	Professional		$348.13	$516.26	$1,193.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.31 / $981.01 / $7,821.00	Facility		$504.31	$981.01	$7,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $874.30 / $2,807.84	Professional		$462.44	$874.30	$2,807.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $667.00 / $1,143.24 / $3,170.91	Facility		$667.00	$1,143.24	$3,170.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.86 / $826.79 / $1,148.14	Professional		$578.86	$826.79	$1,148.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $638.29 / $940.90	Professional		$3.00	$638.29	$940.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $5,163.00 / $7,305.00	Facility		$2,679.00	$5,163.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.54 / $744.24 / $1,176.07	Professional		$433.54	$744.24	$1,176.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $716.20 / $716.20 / $842.60	Professional		$716.20	$716.20	$842.60