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 $379.64 / $713.05 / $948.32	Professional		$379.64	$713.05	$948.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $1,046.54 / $1,560.15	Professional		$423.54	$1,046.54	$1,560.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $642.15 / $1,304.04	Professional		$369.83	$642.15	$1,304.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.97 / $1,240.04 / $9,495.24	Facility		$700.97	$1,240.04	$9,495.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.07 / $1,046.54 / $3,058.72	Professional		$612.07	$1,046.54	$3,058.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $890.10 / $1,243.57 / $2,973.84	Facility		$890.10	$1,243.57	$2,973.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $1,060.01 / $1,449.60	Professional		$778.00	$1,060.01	$1,449.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $692.72 / $3,270.39	Professional		$374.40	$692.72	$3,270.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $816.10 / $1,521.38	Professional		$555.79	$816.10	$1,521.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $771.00 / $907.10 / $1,189.70	Professional		$771.00	$907.10	$1,189.70