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 $188.63 / $505.64 / $1,393.60	Professional		$188.63	$505.64	$1,393.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $491.81 / $1,012.62	Professional		$379.19	$491.81	$1,012.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $441.12 / $721.07	Professional		$160.32	$441.12	$721.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.67 / $523.63 / $1,607.00	Facility		$265.67	$523.63	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $394.80 / $633.00 / $1,491.95	Professional		$394.80	$633.00	$1,491.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $426.45 / $633.00 / $1,082.58	Facility		$426.45	$633.00	$1,082.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $688.31 / $1,047.31	Professional		$379.19	$688.31	$1,047.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $337.66 / $712.57	Professional		$153.01	$337.66	$712.57
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 $412.75 / $505.46 / $972.51	Professional		$412.75	$505.46	$972.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.89 / $363.40 / $824.40	Professional		$308.89	$363.40	$824.40