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 $166.36 / $406.23 / $658.43	Professional		$166.36	$406.23	$658.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $831.02 / $1,230.98	Professional		$239.96	$831.02	$1,230.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $547.13 / $881.17	Professional		$141.97	$547.13	$881.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $831.02 / $3,482.00	Facility		$267.07	$831.02	$3,482.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $388.74 / $388.74	Facility	52	$388.74	$388.74	$388.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $1,061.82 / $1,717.30	Professional		$292.08	$1,061.82	$1,717.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $267.07 / $693.86 / $1,219.57	Facility		$267.07	$693.86	$1,219.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $831.02 / $1,340.18	Professional		$233.62	$831.02	$1,340.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $388.00 / $778.11	Professional		$103.71	$388.00	$778.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.72 / $905.91 / $1,431.55	Professional		$505.72	$905.91	$1,431.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $223.90 / $874.70	Professional		$190.30	$223.90	$874.70