Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.68 / $4,033.00 / $7,119.04	Facility		$1,609.68	$4,033.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $456.94 / $1,780.00	Professional		$254.58	$456.94	$1,780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.14 / $784.94 / $1,210.53	Professional		$410.14	$784.94	$1,210.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.78 / $510.89 / $977.42	Professional		$254.78	$510.89	$977.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $741.02 / $1,623.00	Facility		$419.68	$741.02	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $741.02 / $2,060.32	Professional		$481.55	$741.02	$2,060.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $684.03 / $1,137.32	Facility		$528.54	$684.03	$1,137.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $570.66 / $778.04 / $1,151.14	Professional		$570.66	$778.04	$1,151.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $490.63 / $801.80	Professional		$256.13	$490.63	$801.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $443.00 / $604.10 / $1,047.13	Professional		$443.00	$604.10	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $495.10 / $582.40 / $880.20	Professional		$495.10	$582.40	$880.20