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 $367.41 / $450.78 / $450.78	Professional		$367.41	$450.78	$450.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.13 / $916.68 / $1,033.28	Professional		$815.13	$916.68	$1,033.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.40 / $588.79 / $989.38	Professional		$342.40	$588.79	$989.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.78 / $1,002.82 / $8,342.00	Facility		$663.78	$1,002.82	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.98 / $853.63 / $2,793.67	Professional		$437.98	$853.63	$2,793.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $626.00 / $1,091.16 / $3,093.19	Facility		$626.00	$1,091.16	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $554.77 / $815.13 / $1,091.16	Professional		$554.77	$815.13	$1,091.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $657.60 / $944.60	Professional		$6.00	$657.60	$944.60
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 $405.65 / $726.64 / $1,148.27	Professional		$405.65	$726.64	$1,148.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $706.10 / $706.10 / $830.70	Professional		$706.10	$706.10	$830.70