Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,389.44 / $3,666.78 / $7,119.04	Facility		$2,389.44	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $354.67 / $1,275.08	Professional		$209.45	$354.67	$1,275.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.81 / $605.75 / $1,100.48	Professional		$371.81	$605.75	$1,100.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $407.86 / $684.00	Professional		$197.36	$407.86	$684.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $584.95 / $1,623.00	Facility		$321.66	$584.95	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.14 / $570.47 / $1,590.16	Professional		$367.14	$570.47	$1,590.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $484.83 / $574.51 / $953.00	Facility		$484.83	$574.51	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $570.47 / $952.74	Professional		$416.30	$570.47	$952.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $399.23 / $733.06	Professional		$207.82	$399.23	$733.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.33 / $472.96 / $855.35	Professional		$290.33	$472.96	$855.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.80 / $452.70 / $798.60	Professional		$384.80	$452.70	$798.60