Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.00 / $3,666.78 / $7,119.04	Facility		$2,833.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $357.12 / $582.39	Professional		$224.03	$357.12	$582.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $617.44 / $1,092.69	Professional		$370.14	$617.44	$1,092.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $446.04 / $812.22	Professional		$202.60	$446.04	$812.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.10 / $586.29 / $1,341.00	Facility		$330.10	$586.29	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.55 / $587.28 / $1,630.24	Professional		$388.55	$587.28	$1,630.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $510.88 / $953.00	Facility		$341.29	$510.88	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $432.80 / $587.28 / $1,005.11	Professional		$432.80	$587.28	$1,005.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $407.85 / $696.49	Professional		$213.28	$407.85	$696.49
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 $379.78 / $529.85 / $920.38	Professional		$379.78	$529.85	$920.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $393.10 / $462.40 / $795.10	Professional		$393.10	$462.40	$795.10