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 $246.77 / $413.75 / $1,608.00	Professional		$246.77	$413.75	$1,608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.73 / $655.42 / $1,018.67	Professional		$343.73	$655.42	$1,018.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $425.20 / $780.07	Professional		$209.91	$425.20	$780.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $635.29 / $1,623.00	Facility		$349.86	$635.29	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $618.51 / $1,717.12	Professional		$369.74	$618.51	$1,717.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $504.36 / $618.51 / $953.00	Facility		$504.36	$618.51	$953.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $651.07 / $968.99	Professional		$448.00	$651.07	$968.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $402.61 / $658.73	Professional		$215.98	$402.61	$658.73
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 $364.74 / $504.20 / $917.92	Professional		$364.74	$504.20	$917.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $410.90 / $483.40 / $737.30	Professional		$410.90	$483.40	$737.30