Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.80 / $4,033.00 / $7,119.04	Facility		$1,567.80	$4,033.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.81 / $570.21 / $2,026.86	Professional		$388.81	$570.21	$2,026.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $942.71 / $1,340.30	Professional		$539.28	$942.71	$1,340.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $646.73 / $1,317.45	Professional		$306.52	$646.73	$1,317.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.22 / $924.24 / $1,623.00	Facility		$506.22	$924.24	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.42 / $892.33 / $2,550.00	Professional		$573.42	$892.33	$2,550.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $796.95 / $1,316.00	Facility		$528.54	$796.95	$1,316.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $668.84 / $968.81 / $1,355.14	Professional		$668.84	$968.81	$1,355.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $588.91 / $901.07	Professional		$306.58	$588.91	$901.07
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 $508.12 / $716.79 / $1,369.23	Professional		$508.12	$716.79	$1,369.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $594.70 / $699.60 / $1,031.59	Professional		$594.70	$699.60	$1,031.59