Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.67 / $2,991.00 / $6,298.62	Facility		$1,139.67	$2,991.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.81 / $769.55 / $2,150.16	Professional		$386.81	$769.55	$2,150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.69 / $997.25 / $1,979.89	Professional		$665.69	$997.25	$1,979.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.11 / $766.60 / $1,383.94	Professional		$326.11	$766.60	$1,383.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.94 / $1,029.01 / $1,804.26	Facility		$538.94	$1,029.01	$1,804.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.71 / $1,135.00 / $2,637.28	Professional		$721.71	$1,135.00	$2,637.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $867.36 / $1,682.64	Facility		$528.54	$867.36	$1,682.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $771.46 / $1,233.63 / $1,801.40	Professional		$771.46	$1,233.63	$1,801.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $653.22 / $1,238.35	Professional		$321.05	$653.22	$1,238.35
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 $683.60 / $941.36 / $1,867.40	Professional		$683.60	$941.36	$1,867.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $628.40 / $739.40 / $1,425.70	Professional		$628.40	$739.40	$1,425.70