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 $414.75 / $541.79 / $2,156.84	Professional		$414.75	$541.79	$2,156.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.39 / $987.62 / $1,305.97	Professional		$508.39	$987.62	$1,305.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $632.99 / $1,661.55	Professional		$330.02	$632.99	$1,661.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.21 / $906.03 / $1,633.82	Facility		$478.21	$906.03	$1,633.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.77 / $893.38 / $2,692.00	Professional		$506.77	$893.38	$2,692.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $429.64 / $811.12 / $1,111.00	Facility		$429.64	$811.12	$1,111.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.64 / $928.95 / $1,192.11	Professional		$701.64	$928.95	$1,192.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.93 / $559.39 / $825.33	Professional		$331.93	$559.39	$825.33
United Facility/Professional Facility Modifier Low / Median / High Price $803.74 / $1,489.66 / $1,966.00	Facility		$803.74	$1,489.66	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.50 / $633.47 / $1,248.07	Professional		$471.50	$633.47	$1,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $635.55 / $763.10 / $946.50	Professional		$635.55	$763.10	$946.50