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 $468.77 / $612.90 / $2,535.12	Professional		$468.77	$612.90	$2,535.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.06 / $1,178.95 / $1,453.02	Professional		$835.06	$1,178.95	$1,453.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $460.83 / $695.12 / $1,372.30	Professional		$460.83	$695.12	$1,372.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $612.90 / $1,218.97 / $10,186.35	Facility		$612.90	$1,218.97	$10,186.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.32 / $1,119.90 / $3,755.44	Professional		$555.32	$1,119.90	$3,755.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $1,423.83 / $4,164.35	Facility		$764.00	$1,423.83	$4,164.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $1,039.05 / $1,440.60	Professional		$699.00	$1,039.05	$1,440.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $767.20 / $1,260.50	Professional		$3.00	$767.20	$1,260.50
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 $532.19 / $982.18 / $1,506.46	Professional		$532.19	$982.18	$1,506.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $755.08 / $955.80 / $1,124.40	Professional		$755.08	$955.80	$1,124.40