Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $421.56 / $888.92	Professional		$261.83	$421.56	$888.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.77 / $741.12 / $1,107.07	Professional		$564.77	$741.12	$1,107.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $528.16 / $790.83	Professional		$231.33	$528.16	$790.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.56 / $885.74 / $6,267.00	Facility		$440.56	$885.74	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.67 / $885.74 / $3,056.56	Professional		$429.67	$885.74	$3,056.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $564.77 / $889.07 / $2,256.42	Facility		$564.77	$889.07	$2,256.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $493.49 / $682.12 / $1,058.74	Professional		$493.49	$682.12	$1,058.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $779.30 / $1,121.59	Professional		$5.00	$779.30	$1,121.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.93 / $791.40 / $1,216.28	Professional		$426.93	$791.40	$1,216.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $575.60 / $902.60	Professional		$489.20	$575.60	$902.60