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 $380.20 / $713.57 / $813.33	Professional		$380.20	$713.57	$813.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.04 / $948.16 / $1,352.71	Professional		$478.04	$948.16	$1,352.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $337.77 / $559.87 / $1,118.33	Professional		$337.77	$559.87	$1,118.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.41 / $1,181.19 / $6,306.00	Facility		$703.41	$1,181.19	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.98 / $972.92 / $3,067.04	Professional		$525.98	$972.92	$3,067.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $849.00 / $1,159.00 / $1,908.09	Facility		$849.00	$1,159.00	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $955.57 / $1,255.02	Professional		$707.00	$955.57	$1,255.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $712.61 / $890.74	Professional		$583.22	$712.61	$890.74
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 $482.15 / $695.89 / $1,302.33	Professional		$482.15	$695.89	$1,302.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $878.80 / $1,033.90	Professional		$694.25	$878.80	$1,033.90