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 $333.03 / $434.53 / $1,319.00	Professional		$333.03	$434.53	$1,319.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.98 / $828.69 / $1,009.91	Professional		$614.98	$828.69	$1,009.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $488.77 / $764.02	Professional		$321.45	$488.77	$764.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.48 / $862.64 / $8,342.00	Facility		$515.48	$862.64	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $772.44 / $2,665.76	Professional		$376.00	$772.44	$2,665.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $962.85 / $3,093.19	Facility		$502.00	$962.85	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.95 / $731.54 / $962.85	Professional		$420.95	$731.54	$962.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $569.29 / $935.60	Professional		$4.00	$569.29	$935.60
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 $367.94 / $681.61 / $1,041.53	Professional		$367.94	$681.61	$1,041.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $795.80	Professional		$676.50	$676.50	$795.80