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 $132.90 / $910.33 / $4,123.00	Professional		$132.90	$910.33	$4,123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $1,232.17 / $1,674.09	Professional		$198.67	$1,232.17	$1,674.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $659.15 / $1,971.04	Professional		$82.32	$659.15	$1,971.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.13 / $1,151.00 / $2,038.88	Facility		$192.13	$1,151.00	$2,038.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $1,562.91 / $2,852.60	Professional		$237.80	$1,562.91	$2,852.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $1,227.46 / $1,916.71	Facility		$217.30	$1,227.46	$1,916.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $1,232.17 / $1,872.41	Professional		$192.13	$1,232.17	$1,872.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $502.74 / $1,019.41	Professional		$83.31	$502.74	$1,019.41
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 $787.77 / $1,453.89 / $2,229.94	Professional		$787.77	$1,453.89	$2,229.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $184.10 / $1,180.90	Professional		$156.50	$184.10	$1,180.90