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 $403.51 / $532.16 / $532.16	Professional		$403.51	$532.16	$532.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.31 / $1,081.11 / $1,221.24	Professional		$891.31	$1,081.11	$1,221.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $629.63 / $1,057.47	Professional		$401.40	$629.63	$1,057.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.27 / $1,133.35 / $8,342.00	Facility		$741.27	$1,133.35	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.08 / $990.34 / $4,307.72	Professional		$491.08	$990.34	$4,307.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $1,251.17 / $3,093.19	Facility		$689.00	$1,251.17	$3,093.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $628.85 / $956.60 / $1,251.17	Professional		$628.85	$956.60	$1,251.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $763.60 / $1,123.20	Professional		$6.00	$763.60	$1,123.20
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 $470.61 / $887.78 / $1,332.17	Professional		$470.61	$887.78	$1,332.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $830.90 / $830.90 / $977.60	Professional		$830.90	$830.90	$977.60