Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $417.56 / $1,889.00	Professional		$279.14	$417.56	$1,889.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.34 / $797.60 / $1,002.12	Professional		$391.34	$797.60	$1,002.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $479.07 / $945.14	Professional		$253.20	$479.07	$945.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.55 / $685.54 / $1,314.20	Facility		$378.55	$685.54	$1,314.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $675.40 / $2,066.96	Professional		$388.30	$675.40	$2,066.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $328.62 / $634.78 / $855.62	Facility		$328.62	$634.78	$855.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $532.86 / $691.77 / $910.71	Professional		$532.86	$691.77	$910.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $430.09 / $635.89	Professional		$259.02	$430.09	$635.89
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 $355.94 / $485.37 / $895.35	Professional		$355.94	$485.37	$895.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $489.01 / $585.20 / $728.20	Professional		$489.01	$585.20	$728.20