Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.22 / $521.10 / $673.63	Professional		$395.22	$521.10	$673.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.66 / $1,059.08 / $1,196.89	Professional		$872.66	$1,059.08	$1,196.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.73 / $672.69 / $1,038.90	Professional		$392.73	$672.69	$1,038.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.93 / $1,109.89 / $8,165.52	Facility		$724.93	$1,109.89	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $480.41 / $968.82 / $3,827.26	Professional		$480.41	$968.82	$3,827.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $674.00 / $1,225.80 / $3,093.19	Facility		$674.00	$1,225.80	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $617.12 / $937.20 / $1,225.80	Professional		$617.12	$937.20	$1,225.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $727.70 / $1,100.59	Professional		$6.00	$727.70	$1,100.59
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 $460.39 / $824.70 / $1,303.23	Professional		$460.39	$824.70	$1,303.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $813.30 / $813.30 / $956.80	Professional		$813.30	$813.30	$956.80