Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.53 / $3,419.00 / $6,446.00	Facility		$1,197.53	$3,419.00	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.50 / $799.12 / $2,949.00	Professional		$343.50	$799.12	$2,949.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.55 / $894.99 / $1,863.02	Professional		$625.55	$894.99	$1,863.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $720.22 / $1,128.27	Professional		$292.87	$720.22	$1,128.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.13 / $965.71 / $1,688.29	Facility		$483.13	$965.71	$1,688.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.82 / $1,040.46 / $2,418.02	Professional		$675.82	$1,040.46	$2,418.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $786.05 / $1,580.23	Facility		$528.54	$786.05	$1,580.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $692.87 / $1,127.23 / $1,691.18	Professional		$692.87	$1,127.23	$1,691.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $608.15 / $1,163.43	Professional		$288.08	$608.15	$1,163.43
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 $617.04 / $881.51 / $1,706.22	Professional		$617.04	$881.51	$1,706.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $564.40 / $664.00 / $1,339.90	Professional		$564.40	$664.00	$1,339.90