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 $236.45 / $357.45 / $1,059.72	Professional		$236.45	$357.45	$1,059.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.04 / $632.19 / $965.11	Professional		$339.04	$632.19	$965.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $414.81 / $730.43	Professional		$217.83	$414.81	$730.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.45 / $658.04 / $4,869.67	Facility		$357.45	$658.04	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $597.42 / $1,760.40	Professional		$377.00	$597.42	$1,760.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $520.38 / $831.14 / $1,331.66	Facility		$520.38	$831.14	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $456.84 / $619.29 / $907.08	Professional		$456.84	$619.29	$907.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $421.62 / $1,459.54	Professional		$225.01	$421.62	$1,459.54
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 $351.43 / $479.22 / $832.29	Professional		$351.43	$479.22	$832.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $498.70 / $705.90	Professional		$423.90	$498.70	$705.90