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 $345.05 / $409.65 / $1,394.00	Professional		$345.05	$409.65	$1,394.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.16 / $833.46 / $939.79	Professional		$740.16	$833.46	$939.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $533.59 / $897.56	Professional		$310.52	$533.59	$897.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.89 / $786.83 / $5,023.00	Facility		$599.89	$786.83	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $772.71 / $2,806.88	Professional		$397.11	$772.71	$2,806.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.50 / $755.31 / $987.91	Facility		$500.50	$755.31	$987.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.50 / $740.16 / $987.91	Professional		$500.50	$740.16	$987.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $594.00 / $862.80	Professional		$6.00	$594.00	$862.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $597.09 / $1,039.42	Professional		$367.20	$597.09	$1,039.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $641.20 / $641.20 / $754.30	Professional		$641.20	$641.20	$754.30