Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.86 / $525.19 / $682.58	Professional		$429.86	$525.19	$682.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.42 / $1,068.61 / $1,209.55	Professional		$871.42	$1,068.61	$1,209.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.51 / $668.20 / $1,033.74	Professional		$395.51	$668.20	$1,033.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $718.07 / $1,118.17 / $12,013.25	Facility		$718.07	$1,118.17	$12,013.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.44 / $974.95 / $3,221.28	Professional		$483.44	$974.95	$3,221.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,233.28 / $4,164.35	Facility		$686.00	$1,233.28	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $618.54 / $942.92 / $1,233.28	Professional		$618.54	$942.92	$1,233.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $738.80 / $1,111.80	Professional		$3.00	$738.80	$1,111.80
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 $463.30 / $829.91 / $1,311.46	Professional		$463.30	$829.91	$1,311.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $820.20 / $965.00	Professional		$820.20	$820.20	$965.00