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 $442.25 / $777.49 / $777.49	Professional		$442.25	$777.49	$777.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $1,089.57 / $1,354.66	Professional		$781.95	$1,089.57	$1,354.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $474.75 / $707.37 / $1,731.77	Professional		$474.75	$707.37	$1,731.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $1,287.46 / $8,957.00	Facility		$513.41	$1,287.46	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.14 / $996.65 / $2,420.23	Professional		$525.14	$996.65	$2,420.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $887.24 / $1,287.46 / $2,961.89	Facility		$887.24	$1,287.46	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $887.24 / $1,089.57 / $1,287.46	Professional		$887.24	$1,089.57	$1,287.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $1,064.09	Professional		$5.00	$5.00	$1,064.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.21 / $848.39 / $1,340.66	Professional		$494.21	$848.39	$1,340.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $905.30 / $905.30 / $1,065.09	Professional		$905.30	$905.30	$1,065.09