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 $461.85 / $867.13 / $3,081.72	Professional		$461.85	$867.13	$3,081.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.58 / $1,145.28 / $1,431.60	Professional		$580.58	$1,145.28	$1,431.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $445.58 / $631.08 / $1,510.65	Professional		$445.58	$631.08	$1,510.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $1,393.32 / $10,015.53	Facility		$729.00	$1,393.32	$10,015.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $545.13 / $908.14 / $1,623.22	Professional		$545.13	$908.14	$1,623.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.80 / $1,501.69 / $4,188.66	Facility		$898.80	$1,501.69	$4,188.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $1,009.60 / $1,323.87	Professional		$723.00	$1,009.60	$1,323.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $447.93 / $825.22 / $4,367.31	Professional		$447.93	$825.22	$4,367.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,898.00 / $6,608.00 / $10,331.34	Facility		$4,898.00	$6,608.00	$10,331.34
United Facility/Professional Professional Modifier Low / Median / High Price $516.77 / $758.45 / $1,422.09	Professional		$516.77	$758.45	$1,422.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $738.57 / $1,022.90 / $1,099.90	Professional		$738.57	$1,022.90	$1,099.90