Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $829.04 / $1,121.41	Professional		$456.38	$829.04	$1,121.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.35 / $1,246.67 / $1,841.60	Professional		$555.35	$1,246.67	$1,841.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $429.02 / $758.21 / $1,340.00	Professional		$429.02	$758.21	$1,340.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $881.27 / $1,480.55 / $6,306.00	Facility		$881.27	$1,480.55	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.64 / $1,252.23 / $3,552.72	Professional		$730.64	$1,252.23	$3,552.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,480.55 / $2,308.21	Facility		$1,028.00	$1,480.55	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $1,254.59 / $1,713.81	Professional		$935.00	$1,254.59	$1,713.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $805.57 / $2,486.46	Professional		$433.77	$805.57	$2,486.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.55 / $974.19 / $1,840.61	Professional		$663.55	$974.19	$1,840.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $895.20 / $1,053.20 / $1,404.80	Professional		$895.20	$1,053.20	$1,404.80