Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.00 / $3,259.25 / $7,119.04	Facility		$1,561.00	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $623.76 / $2,560.32	Professional		$245.51	$623.76	$2,560.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.23 / $531.74 / $1,200.79	Professional		$402.23	$531.74	$1,200.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $462.13 / $759.30	Professional		$173.82	$462.13	$759.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.05 / $565.50 / $1,607.00	Facility		$287.05	$565.50	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.94 / $702.30 / $1,558.89	Professional		$427.94	$702.30	$1,558.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $685.00 / $1,133.66	Facility		$450.90	$685.00	$1,133.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $411.21 / $737.10 / $1,094.69	Professional		$411.21	$737.10	$1,094.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $367.69 / $746.52	Professional		$168.17	$367.69	$746.52
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 $413.12 / $563.34 / $1,039.17	Professional		$413.12	$563.34	$1,039.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $394.10 / $861.40	Professional		$335.00	$394.10	$861.40