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 $362.66 / $681.18 / $789.01	Professional		$362.66	$681.18	$789.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $978.89 / $1,302.07	Professional		$457.51	$978.89	$1,302.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $542.71 / $1,059.53	Professional		$326.75	$542.71	$1,059.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.99 / $1,121.43 / $5,857.27	Facility		$662.99	$1,121.43	$5,857.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.47 / $946.96 / $2,920.64	Professional		$510.47	$946.96	$2,920.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $847.15 / $1,121.43 / $2,308.21	Facility		$847.15	$1,121.43	$2,308.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $688.26 / $915.63 / $1,201.70	Professional		$688.26	$915.63	$1,201.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $691.46 / $858.75	Professional		$546.05	$691.46	$858.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,938.87 / $4,808.59 / $6,854.80	Facility		$2,938.87	$4,808.59	$6,854.80
United Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $687.63 / $1,289.31	Professional		$472.55	$687.63	$1,289.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $669.84 / $847.90 / $997.60	Professional		$669.84	$847.90	$997.60