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 $337.05 / $587.33 / $1,751.00	Professional		$337.05	$587.33	$1,751.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $683.66 / $1,112.17	Professional		$376.38	$683.66	$1,112.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $467.36 / $861.81	Professional		$221.92	$467.36	$861.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.79 / $633.67 / $1,341.00	Facility		$364.79	$633.67	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.56 / $642.97 / $1,794.24	Professional		$405.56	$642.97	$1,794.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $572.44 / $1,041.69	Facility		$341.29	$572.44	$1,041.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $683.44 / $1,058.25	Professional		$497.00	$683.44	$1,058.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $425.56 / $705.95	Professional		$223.87	$425.56	$705.95
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 $402.96 / $553.04 / $960.66	Professional		$402.96	$553.04	$960.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $431.60 / $507.80 / $807.70	Professional		$431.60	$507.80	$807.70