Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.66 / $568.33 / $935.86	Professional		$516.66	$568.33	$935.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.23 / $1,054.11 / $1,317.65	Professional		$628.23	$1,054.11	$1,317.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.38 / $423.07 / $2,048.79	Professional		$308.38	$423.07	$2,048.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.74 / $1,008.00 / $6,558.00	Facility		$616.74	$1,008.00	$6,558.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $569.71 / $4,216.88	Professional		$285.26	$569.71	$4,216.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $569.71 / $1,044.19 / $1,397.95	Facility		$569.71	$1,044.19	$1,397.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $498.25 / $922.00 / $1,551.85	Professional		$498.25	$922.00	$1,551.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.78 / $1,109.85 / $1,177.42	Professional		$1,043.78	$1,109.85	$1,177.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $434.96 / $778.18	Professional		$262.95	$434.96	$778.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.76 / $247.80 / $247.80	Professional		$195.76	$247.80	$247.80