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 $223.45 / $340.14 / $1,322.00	Professional		$223.45	$340.14	$1,322.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.42 / $623.72 / $813.19	Professional		$326.42	$623.72	$813.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $379.16 / $671.28	Professional		$208.71	$379.16	$671.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $319.47 / $590.60 / $4,033.83	Facility		$319.47	$590.60	$4,033.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $550.35 / $1,682.16	Professional		$321.00	$550.35	$1,682.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $501.46 / $691.40 / $1,331.66	Facility		$501.46	$691.40	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $422.80 / $558.22 / $765.90	Professional		$422.80	$558.22	$765.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $404.30 / $1,459.54	Professional		$219.62	$404.30	$1,459.54
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 $294.25 / $424.49 / $737.82	Professional		$294.25	$424.49	$737.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $480.60 / $597.79	Professional		$401.40	$480.60	$597.79