Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,463.36 / $9,248.33	Facility		$3,496.00	$5,463.36	$9,248.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.71 / $451.58 / $731.01	Professional		$353.71	$451.58	$731.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.59 / $918.31 / $1,035.23	Professional		$816.59	$918.31	$1,035.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $585.73 / $1,491.40	Professional		$342.97	$585.73	$1,491.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.78 / $1,018.01 / $14,525.55	Facility		$662.78	$1,018.01	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.32 / $855.57 / $2,806.88	Professional		$437.32	$855.57	$2,806.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,091.83 / $5,275.65	Facility		$624.00	$1,091.83	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $816.59 / $1,091.83	Professional		$563.00	$816.59	$1,091.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $658.90 / $948.40	Professional		$6.00	$658.90	$948.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $813.14 / $1,150.88	Professional		$406.57	$813.14	$1,150.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.40 / $707.40 / $832.20	Professional		$707.40	$707.40	$832.20