Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.82 / $3,259.25 / $7,119.04	Facility		$1,897.82	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $484.55 / $1,927.20	Professional		$85.04	$484.55	$1,927.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $806.40 / $1,090.74	Professional		$180.75	$806.40	$1,090.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $434.17 / $1,402.76	Professional		$75.12	$434.17	$1,402.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $806.40 / $1,497.79	Facility		$175.41	$806.40	$1,497.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $1,056.86 / $1,918.21	Professional		$218.58	$1,056.86	$1,918.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $806.40 / $1,254.39	Facility		$198.17	$806.40	$1,254.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $806.40 / $1,230.38	Professional		$175.41	$806.40	$1,230.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $329.50 / $671.23	Professional		$77.25	$329.50	$671.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.42 / $948.34 / $1,498.61	Professional		$552.42	$948.34	$1,498.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $168.10 / $772.80	Professional		$142.90	$168.10	$772.80