Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,771.51 / $7,119.04	Facility		$2,906.00	$3,771.51	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.26 / $353.54 / $1,438.00	Professional		$270.26	$353.54	$1,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $568.74 / $954.43	Professional		$329.97	$568.74	$954.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $408.04 / $751.07	Professional		$183.73	$408.04	$751.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.54 / $572.90 / $1,623.00	Facility		$302.54	$572.90	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.35 / $553.55 / $1,486.32	Professional		$354.35	$553.55	$1,486.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $471.15 / $590.91 / $921.16	Facility		$471.15	$590.91	$921.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.68 / $610.07 / $932.58	Professional		$427.68	$610.07	$932.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $355.41 / $676.50	Professional		$187.91	$355.41	$676.50
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 $354.35 / $483.21 / $813.18	Professional		$354.35	$483.21	$813.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $358.10 / $421.30 / $708.00	Professional		$358.10	$421.30	$708.00