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 $381.20 / $488.92 / $821.28	Professional		$381.20	$488.92	$821.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.43 / $1,074.38 / $1,342.97	Professional		$489.43	$1,074.38	$1,342.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $582.75 / $922.83	Professional		$406.65	$582.75	$922.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.13 / $1,156.11 / $5,550.34	Facility		$575.13	$1,156.11	$5,550.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.32 / $788.44 / $1,454.76	Professional		$462.32	$788.44	$1,454.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $829.14 / $1,454.76 / $2,428.62	Facility		$829.14	$1,454.76	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $912.75 / $1,257.44	Professional		$601.41	$912.75	$1,257.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $773.13 / $2,502.31	Professional		$413.22	$773.13	$2,502.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,914.00 / $3,560.25	Facility		$1,151.00	$1,914.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $447.61 / $651.07 / $1,324.65	Professional		$447.61	$651.07	$1,324.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $949.10 / $1,020.60	Professional		$685.33	$949.10	$1,020.60