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 / $767.10	Professional		$362.66	$681.18	$767.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.95 / $992.44 / $1,264.08	Professional		$450.95	$992.44	$1,264.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $317.69 / $528.14 / $1,041.99	Professional		$317.69	$528.14	$1,041.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.00 / $1,098.54 / $6,306.00	Facility		$667.00	$1,098.54	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.14 / $871.10 / $1,360.65	Professional		$495.14	$871.10	$1,360.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $847.15 / $1,089.76 / $1,908.09	Facility		$847.15	$1,089.76	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.17 / $915.63 / $1,201.70	Professional		$668.17	$915.63	$1,201.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $673.01 / $834.28	Professional		$546.05	$673.01	$834.28
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 $459.78 / $668.77 / $1,240.80	Professional		$459.78	$668.77	$1,240.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $824.00 / $969.40	Professional		$650.96	$824.00	$969.40