Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $581.16 / $805.29	Professional		$344.59	$581.16	$805.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.23 / $910.01 / $1,060.47	Professional		$812.23	$910.01	$1,060.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $618.10 / $1,077.07	Professional		$363.15	$618.10	$1,077.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $933.78 / $5,847.00	Facility		$656.56	$933.78	$5,847.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $868.73 / $2,834.88	Professional		$444.33	$868.73	$2,834.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $562.08 / $837.02 / $1,094.75	Facility		$562.08	$837.02	$1,094.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.08 / $812.23 / $1,094.75	Professional		$562.08	$812.23	$1,094.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $612.29 / $987.10	Professional		$4.00	$612.29	$987.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.93 / $722.16 / $1,168.58	Professional		$415.93	$722.16	$1,168.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $750.20 / $750.20 / $882.60	Professional		$750.20	$750.20	$882.60